Multiplex detection and typing of vibrio cholerae

ABSTRACT

Methods and compositions for detection of  V. cholerae, V cholerae  serogroup O1,  V. cholerae  serogroup O139, and  V. cholerae  encoding cholera toxin are disclosed herein. In some embodiments, the presence or absence of  V. cholerae, V cholerae  serogroup O1,  V. cholerae  serogroup O139, and  V. cholerae  encoding cholera toxin in a sample is determined using multiplex nucleic acid-based testing methods.

RELATED APPLICATIONS

This application claims the benefit of PCT Application Serial No. PCT/CN2020/126682, filed Nov. 5, 2020, the content of this related application is incorporated herein in its entirety.

REFERENCE TO SEQUENCE LISTING

The present application is being filed along with a Sequence Listing in electronic format. The Sequence Listing is provided as a file entitled 68EB-298735-WO2, created Nov. 2, 2021, which is 16 kb in size. The information in the electronic format of the Sequence Listing is incorporated herein by reference in its entirety.

BACKGROUND Field

The present disclosure relates to methods and compositions for the detection and typing of V. cholerae in a sample. More specifically, the present disclosure relates to the detection of one or more of V. cholerae, V cholerae serogroup O1, V. cholerae serogroup O139, and V. cholerae encoding cholera toxin in a sample, such as a stool sample, by nucleic acid-based testing methods.

Description of the Related Art

Vibrio cholerae is the etiological pathogen responsible for the disease cholera. At its most severe, the disease is known as cholera gravis and presents with the passing of voluminous rice water stools leading to severe dehydration. If hydration and electrolyte therapy is not quickly initiated, the disease can rapidly progress to hypovolemic shock, acidosis, and death. The World Health Organization states that there are 1.3-4 million estimated cases and 21,000-147,000 estimated deaths annually. Among more than 200 serogroups of V. cholera, only O1 and O139 serogroups have been associated with epidemic disease. Cholera toxin (CT) is responsible for severe, cholera-like disease in epidemic and sporadic forms. In assessing the public health significance of an isolate of V. cholerae, the production of CT is one of the critical properties to be determined. Timely identification of V. cholerae infected patients in diarrhea, and identification of serotypes and virulence factors is important for patient treatment and disease control. Accordingly, there is a need for developing more efficient and faster methods for detecting and serotyping V. cholerae, for example a multiplex real-time PCR method simultaneously detect 5 gene targets, which can accomplish detection, serotyping of V. cholerae and cholera toxin detection all in a single reaction. There is a need for multiplexed compositions and methods for the simultaneous identification and determination of the potential virulence of Vibrio cholerae.

SUMMARY

Disclosed herein include methods of detecting V. cholerae in a sample. In some embodiments, the method comprises: contacting said sample with a plurality of pairs of primers, wherein the plurality of pairs of primer comprises: at least one pair of primers capable of hybridizing to the ompW gene of V. cholerae, wherein each primer in said at least one pair of primers comprises any one of the sequences of SEQ ID NOs: 1-8, or a sequence that exhibits at least about 85% identity to any one of the sequences of SEQ ID NOs: 1-8; at least one pair of primers capable of hybridizing to the rfbN gene of V. cholerae serogroup O1, wherein each primer in said at least one pair of primers comprises any one of the sequences of SEQ ID NOs: 12-19, or a sequence that exhibits at least about 85% identity to any one of the sequences of SEQ ID NOs: 12-19; at least one pair of primers capable of hybridizing to the wbfR gene of V. cholerae serogroup O139, wherein each primer in said at least one pair of primers comprises any one of the sequences of SEQ ID NOs: 24-33, or a sequence that exhibits at least about 85% identity to any one of the sequences of SEQ ID NOs: 24-33; and at least one pair of primers capable of hybridizing to the ctxA (cholera toxin) gene of V. cholerae, wherein each primer in said at least one pair of primers comprises any one of the sequences of SEQ ID NOs: 39-48, or a sequence that exhibits at least about 85% identity to any one of the sequences of SEQ ID NOs: 39-48. The method can comprise: generating amplicons of the ompW gene sequence, amplicons of the rfbN gene sequence, amplicons of the wbfR gene sequence, amplicons of the ctxA gene sequence, or any combination thereof, if said sample comprises one or more of V. cholerae, V cholerae serogroup O1, V. cholerae serogroup O139, and V. cholerae encoding cholera toxin. The method can comprise: determining the presence or amount of one or more amplicons as an indication of the presence of one or more of V. cholerae, V cholerae serogroup O1, V. cholerae serogroup O139, and V. cholerae encoding cholera toxin in said sample. The method can comprise: contacting the sample with at least one pair of control primers capable of hybridizing to the yaiO gene of E. coli, wherein each primer in said at least one pair of control primers comprises any one of the sequences of SEQ ID NOs: 53-62, or a sequence that exhibits at least about 85% identity to any one of the sequences of SEQ ID NOs: 53-62, and generating amplicons of the yaiO gene sequence of E. coli from said sample, if said sample comprises E. coli; and determining the presence or amount of the amplicons of the yaiO gene sequence of E. coli as an indication of the presence of E. coli in said sample.

In some embodiments, the sample is contacted with a composition comprising the plurality of pairs of primers and the at least one pair of control primers capable of hybridizing to the yaiO gene of E. coli. In some embodiments, the sample is a biological sample or an environmental sample. In some embodiments, the environmental sample is obtained from a food sample, a beverage sample, a paper surface, a fabric surface, a metal surface, a wood surface, a plastic surface, a soil sample, a fresh water sample, a waste water sample, a saline water sample, exposure to atmospheric air or other gas sample, cultures thereof, or any combination thereof. In some embodiments, the biological sample is obtained from a tissue sample, saliva, blood, plasma, sera, stool, urine, sputum, mucous, lymph, synovial fluid, cerebrospinal fluid, ascites, pleural effusion, seroma, pus, swab of skin or a mucosal membrane surface, cultures thereof, or any combination thereof. In some embodiments, the biological sample comprises or is derived from a fecal sample.

In some embodiments, the plurality of pairs of primers comprises a first primer comprising the sequence of SEQ ID NO: 1, 3, 5, or 7, a second primer comprising the sequence of SEQ ID NO: 2, 4, 6, or 8, a third primer comprising the sequence of SEQ ID NOs: 12, 14, 16, or 18, a fourth primer comprising the sequence of SEQ ID NO: 13, 15, 17, or 19, a fifth primer comprising the sequence of SEQ ID NO: 24, 26, 28, 30, or 32, a sixth primer comprising the sequence of SEQ ID NO: 25, 27, 29, 31, or 33, a seventh primer comprising the sequence of SEQ ID NO: 39, 41, 43, 45, or 47, and an eighth primer comprising the sequence of SEQ ID NOs: 40, 42, 44, 46, or 48. In some embodiments, the plurality of pairs of primers comprises an ninth primer comprising the sequence of SEQ ID NO: 53, 55, 57, 59, or 61, and a tenth primer comprising the sequence of SEQ ID NO: 54, 56, 58, 60, or 62. In some embodiments, the pair of primers capable of hybridizing to the ompW gene of V. cholerae is SEQ ID NOs: 1 and 2, SEQ ID NOs: 3 and 4, SEQ ID NOs: 5 and 6, or SEQ ID NOs: 7 and 8; the pair of primers capable of hybridizing to the rfbN gene of V. cholerae serogroup O1 is SEQ ID NOs: 12 and 13, SEQ ID NOs: 14 and 15, SEQ ID NOs: 16 and 17, or SEQ ID NOs: 18 and 19; the pair of primers capable of hybridizing to the wbfR gene of V. cholerae serogroup O139 is SEQ ID NOs: 24 and 25, SEQ ID NOs: 26 and 27, SEQ ID NOs: 28 and 29, SEQ ID NOs: 30 and 31, or SEQ ID NOs: 32 and 33; and the pair of primers capable of hybridizing to the ctxA gene of V. cholerae is SEQ ID NOs: 39 and 40, SEQ ID NOs: 41 and 42, SEQ ID NOs: 43 and 44, SEQ ID NOs: 45 and 46, or SEQ ID NOs: 47 and 48. In some embodiments, the pair of control primers capable of hybridizing to the yaiO gene of E. coli is SEQ ID NOs: 53 and 54, SEQ ID NOs: 55 and 56, SEQ ID NOs: 57 and 58, SEQ ID NOs: 59 and 60, or SEQ ID NOs: 61 and 62.

In some embodiments, said amplification is carried out using a method selected from the group consisting of polymerase chain reaction (PCR), ligase chain reaction (LCR), loop-mediated isothermal amplification (LAMP), strand displacement amplification (SDA), replicase-mediated amplification, Immuno-amplification, nucleic acid sequence based amplification (NASBA), self-sustained sequence replication (3SR), rolling circle amplification, and transcription-mediated amplification (TMA). In some embodiments, said PCR is real-time PCR. In some embodiments, said PCR is quantitative real-time PCR (QRT-PCR). In some embodiments, each primer comprises exogenous nucleotide sequence.

In some embodiments, determining the presence or amount of one or more amplicons comprises contacting the amplicons with a plurality of oligonucleotide probes, wherein each of the plurality of oligonucleotide probes comprises a sequence selected from the group consisting of SEQ ID NOs: 9-11, 20-23, 34-38, 49-52, and 63-67, or a sequence that exhibits at least about 85% identity to a sequence selected from the group consisting of SEQ ID NOs: 9-11, 20-23, 34-38, 49-52, and 63-67. In some embodiments, each of the plurality of oligonucleotide probes comprises a sequence selected from the group consisting of SEQ ID NOs: 9-11, 20-23, 34-38, 49-52, and 63-67. In some embodiments, each of the plurality of oligonucleotide probes consists of a sequence selected from the group consisting of SEQ ID NOs: 9-11, 20-23, 34-38, 49-52, and 63-67. In some embodiments, each probe is flanked by complementary sequences at the 5′ end and 3′ end. In some embodiments, one of the complementary sequences comprises a fluorescence emitter moiety and the other complementary sequence comprises a fluorescence quencher moiety. In some embodiments, at least one of the plurality of oligonucleotide probes comprises a fluorescence emitter moiety and a fluorescence quencher moiety.

Disclosed herein include compositions for detecting V. cholerae. In some embodiments, the composition comprises: at least one pair of primers capable of hybridizing to the ompW gene of V. cholerae, wherein each primer in said at least one pair of primers comprises any one of the sequences of SEQ ID NOs: 1-8, or a sequence that exhibits at least about 85% identity to any one of the sequences of SEQ ID NOs: 1-8; at least one pair of primers capable of hybridizing to the rfbN gene of V. cholerae serogroup O1, wherein each primer in said at least one pair of primers comprises any one of the sequences of SEQ ID NOs: 12-19, or a sequence that exhibits at least about 85% identity to any one of the sequences of SEQ ID NOs: 12-19; at least one pair of primers capable of hybridizing to the wbfR gene of V. cholerae serogroup O139, wherein each primer in said at least one pair of primers comprises any one of the sequences of SEQ ID NOs: 24-33, or a sequence that exhibits at least about 85% identity to any one of the sequences of SEQ ID NOs: 24-33; and at least one pair of primers capable of hybridizing to the ctxA (cholera toxin) gene of V. cholerae, wherein each primer in said at least one pair of primers comprises any one of the sequences of SEQ ID NOs: 39-48, or a sequence that exhibits at least about 85% identity to any one of the sequences of SEQ ID NOs: 39-48. The composition can comprise: at least one pair of control primers capable of hybridizing to the yaiO gene of E. coli, wherein each primer in said at least one pair of control primers comprises any one of the sequences of SEQ ID NOs: 53-62, or a sequence that exhibits at least about 85% identity to any one of the sequences of SEQ ID NOs: 53-62.

In some embodiments, the at least one pair of primers capable of hybridizing to the ompW gene of V. cholerae comprises a primer comprising the sequence of SEQ ID NO: 1, 3, 5, or 7 and a primer comprising the sequence of SEQ ID NO: 2, 4, 6, or 8; the at least one pair of primers capable of hybridizing to the rfbN gene of V. cholerae serogroup O1 comprises a primer comprising the sequence of SEQ ID NO: 12, 14, 16, or 18 and a primer comprising the sequence of SEQ ID NO: 13, 15, 17, or 19; the at least one pair of primers capable of hybridizing to the wbfR gene of V. cholerae serogroup O139 comprises a primer comprising the sequence of SEQ ID NO: 24, 26, 28, 30, or 32 and a primer comprising the sequence of SEQ ID NO: 25, 27, 29, 31, or 33; and the at least one pair of primers capable of hybridizing to the ctxA gene of V. cholerae comprises a primer comprising the sequence of SEQ ID NO: 39, 41, 43, 45, or 47 and a primer comprising the sequence of SEQ ID NO: 40, 42, 44, 46, or 48. In some embodiments, the at least one pair of control primers capable of hybridizing to the yaiO gene of E. coli comprises a primer comprising the sequence of SEQ ID NO: 53, 55, 57, 59, or 61 and a primer comprising the sequence of SEQ ID NO: 54, 56, 58, 60, or 62.

The composition can comprise: a plurality of oligonucleotide probes, wherein each of the plurality of oligonucleotide probes comprises a sequence selected from the group consisting of SEQ ID NOs: 9-11, 20-23, 34-38, 49-52, and 63-67, or a sequence that exhibits at least about 85% identity to a sequence selected from the group consisting of SEQ ID NOs: 9-11, 20-23, 34-38, 49-52, and 63-67. In some embodiments, each of the plurality of oligonucleotide probes comprises a sequence selected from the group consisting of SEQ ID NOs: 9-11, 20-23, 34-38, 49-52, and 63-67. In some embodiments, each of the plurality of oligonucleotide probes consists of a sequence selected from the group consisting of SEQ ID NOs: 9-11, 20-23, 34-38, 49-52, and 63-67. In some embodiments, at least one of the plurality of probes comprises a fluorescence emitter moiety and a fluorescence quencher moiety.

Disclosed herein include probes or primers up to about 100 nucleotides in length which is capable of hybridizing to the ompW gene of V. cholerae. In some embodiments, the probe or primer comprises: a sequence selected from the group consisting of SEQ ID NOs: 1-11, or sequence that exhibits at least about 85% identity to a sequence selected from the group consisting of SEQ ID NOs: 1-11. In some embodiments, said probe or primer consists of a sequence selected from the group consisting of SEQ ID NOs: 1-11, or sequence that exhibits at least about 85% identity to a sequence selected from the group consisting of SEQ ID NOs: 1-11. In some embodiments, said probe or primer comprises a sequence selected from the group consisting of SEQ ID NOs: 1-11. In some embodiments, said probe or primer consists of a sequence selected from the group consisting of SEQ ID NOs: 1-11.

Disclosed herein include probes or primers up to about 100 nucleotides in length which is capable of hybridizing to the rfbN gene of V. cholerae serogroup O1. In some embodiments, the probe or primer comprises: a sequence selected from the group consisting of SEQ ID NOs: 12-23, or sequence that exhibits at least about 85% identity to a sequence selected from the group consisting of SEQ ID NOs: 12-23. In some embodiments, said probe or primer consists of a sequence selected from the group consisting of SEQ ID NOs: 12-23, or sequence that exhibits at least about 85% identity to a sequence selected from the group consisting of SEQ ID NOs: 12-23. In some embodiments, said probe or primer comprises a sequence selected from the group consisting of SEQ ID NOs: 12-23. In some embodiments, said probe or primer consists of a sequence selected from the group consisting of SEQ ID NOs: 12-23.

Disclosed herein include probes or primers up to about 100 nucleotides in length which is capable of hybridizing to the wbfR gene of V. cholerae serogroup O139. In some embodiments, the probe or primer comprises: a sequence selected from the group consisting of SEQ ID NOs: 24-38, or sequence that exhibits at least about 85% identity to a sequence selected from the group consisting of SEQ ID NOs: 24-38. In some embodiments, said probe or primer consists of a sequence selected from the group consisting of SEQ ID NOs: 24-38, or sequence that exhibits at least about 85% identity to a sequence selected from the group consisting of SEQ ID NOs: 24-38. In some embodiments, said probe or primer comprises a sequence selected from the group consisting of SEQ ID NOs: 24-38. In some embodiments, said probe or primer consists of a sequence selected from the group consisting of SEQ ID NOs: 24-38.

Disclosed herein include probes or primers up to about 100 nucleotides in length which is capable of hybridizing to the ctxA (cholera toxin) gene of V. cholerae. In some embodiments, the probe or primer comprises: a sequence selected from the group consisting of SEQ ID NOs: 39-52, or sequence that exhibits at least about 85% identity to a sequence selected from the group consisting of SEQ ID NOs: 39-52. In some embodiments, said probe or primer consists of a sequence selected from the group consisting of SEQ ID NOs: 39-52, or sequence that exhibits at least about 85% identity to a sequence selected from the group consisting of SEQ ID NOs: 39-52. In some embodiments, said probe or primer comprises a sequence selected from the group consisting of SEQ ID NOs: 39-52. In some embodiments, said probe or primer consists of a sequence selected from the group consisting of SEQ ID NOs: 39-52.

Disclosed herein include probes or primers up to about 100 nucleotides in length which is capable of hybridizing to the yaiO gene of E. coli. In some embodiments, the probe or primer comprises: comprises a sequence selected from the group consisting of SEQ ID NOs: 53-67, or sequence that exhibits at least about 85% identity to a sequence selected from the group consisting of SEQ ID NOs: 53-67. In some embodiments, said probe or primer consists of a sequence selected from the group consisting of SEQ ID NOs: 53-67, or sequence that exhibits at least about 85% identity to a sequence selected from the group consisting of SEQ ID NOs: 53-67. In some embodiments, said probe or primer comprises a sequence selected from the group consisting of SEQ ID NOs: 53-67. In some embodiments, said probe or primer consists of a sequence selected from the group consisting of SEQ ID NOs: 53-67.

Disclosed herein include compositions. In some embodiments, the composition comprises one or more, or two or more, of the oligonucleotide probes and primers disclosed herein. In some embodiments, the composition further comprises one or more of the enzymes for nucleic acid extension and/or amplification

DETAILED DESCRIPTION

In the following detailed description, reference is made to the accompanying drawings, which form a part hereof. In the drawings, similar symbols typically identify similar components, unless context dictates otherwise. The illustrative embodiments described in the detailed description, drawings, and claims are not meant to be limiting. Other embodiments may be utilized, and other changes may be made, without departing from the spirit or scope of the subject matter presented herein. It will be readily understood that the aspects of the present disclosure, as generally described herein, and illustrated in the Figures, can be arranged, substituted, combined, separated, and designed in a wide variety of different configurations, all of which are explicitly contemplated herein and made part of the disclosure herein.

All patents, published patent applications, other publications, and sequences from GenBank, and other databases referred to herein are incorporated by reference in their entirety with respect to the related technology.

Currently, the methods for detection and serotyping of V. cholerae include conventional methods and PCR based methods. Conventional methods involve culturing and identification by morphological, biochemical, and immunological characteristics. Despite it has been widely used, it lacks specificity, requires massive complicated manual operation, and involves long detection periods. Recently, PCR-based methods for the identification of V. cholerae infection have started to surface. Compared to conventional methods, PCR methods especially real-time PCR methods have many advantages: it is highly sensitive and specific, shorter time to result and less labor-intensive. However, prior arts adapted PCR method usually can only achieve one or two of V. cholerae identification, serotyping or Cholera toxin detection but not all three purposes in one setting. Lyon W J et al. (Appl. Environ. Microbiol., 2001, 67(10): 4685-4693.) described a Tagman probe real-time PCR method, which is only for detection of V. cholerae in pure cultures, oysters, and synthetic seawater. Bhumiratana, Adisak, et al. (Biochemistry research international 2014) described a conventional multiplex PCR for Vibrio cholerae O1 and O139 serogroups detection. The prerequisite of this method is V. cholerae has already been identified in the sample. Accordingly, there is a need for developing more efficient and faster methods for detecting and serotyping V. cholerae, for example a multiplex real-time PCR method simultaneously detect 5 gene targets, which can accomplish detection, serotyping of V. cholerae and cholera toxin detection all in a single reaction. There is a need for multiplexed compositions and methods for the simultaneous identification and determination of the potential virulence of Vibrio cholerae.

Provided herein are methods and compositions for the detection of one or more of V. cholerae, V cholerae serogroup O1, V. cholerae serogroup O139, and V. cholerae encoding cholera toxin in a sample. For example, primers and probes that can bind to specific genes of V. cholerae are provided to determine the presence or absence of one or more of V. cholerae, V cholerae serogroup O1, V. cholerae serogroup O139, and V. cholerae encoding cholera toxin in a sample, such as a biological sample. In some embodiments, multiplex nucleic acid amplification can be performed to allow the detection of one or more of V. cholerae, V. cholerae serogroup O1, V. cholerae serogroup O139, and V. cholerae encoding cholera toxin in said sample in a single assay.

Disclosed herein include methods of detecting V. cholerae in a sample. In some embodiments, the method comprises: contacting said sample with a plurality of pairs of primers, wherein the plurality of pairs of primer comprises: at least one pair of primers capable of hybridizing to the ompW gene of V. cholerae, wherein each primer in said at least one pair of primers comprises any one of the sequences of SEQ ID NOs: 1-8, or a sequence that exhibits at least about 85% identity to any one of the sequences of SEQ ID NOs: 1-8; at least one pair of primers capable of hybridizing to the rfbN gene of V. cholerae serogroup O1, wherein each primer in said at least one pair of primers comprises any one of the sequences of SEQ ID NOs: 12-19, or a sequence that exhibits at least about 85% identity to any one of the sequences of SEQ ID NOs: 12-19; at least one pair of primers capable of hybridizing to the wbfR gene of V. cholerae serogroup O139, wherein each primer in said at least one pair of primers comprises any one of the sequences of SEQ ID NOs: 24-33, or a sequence that exhibits at least about 85% identity to any one of the sequences of SEQ ID NOs: 24-33; and at least one pair of primers capable of hybridizing to the ctxA (cholera toxin) gene of V. cholerae, wherein each primer in said at least one pair of primers comprises any one of the sequences of SEQ ID NOs: 39-48, or a sequence that exhibits at least about 85% identity to any one of the sequences of SEQ ID NOs: 39-48. The method can comprise: generating amplicons of the ompW gene sequence, amplicons of the rfbN gene sequence, amplicons of the wbfR gene sequence, amplicons of the ctxA gene sequence, or any combination thereof, if said sample comprises one or more of V. cholerae, V cholerae serogroup O1, V. cholerae serogroup O139, and V. cholerae encoding cholera toxin. The method can comprise: determining the presence or amount of one or more amplicons as an indication of the presence of one or more of V. cholerae, V cholerae serogroup O1, V. cholerae serogroup O139, and V. cholerae encoding cholera toxin in said sample. The method can comprise: contacting the sample with at least one pair of control primers capable of hybridizing to the yaiO gene of E. coli, wherein each primer in said at least one pair of control primers comprises any one of the sequences of SEQ ID NOs: 53-62, or a sequence that exhibits at least about 85% identity to any one of the sequences of SEQ ID NOs: 53-62, and generating amplicons of the yaiO gene sequence of E. coli from said sample, if said sample comprises E. coli; and determining the presence or amount of the amplicons of the yaiO gene sequence of E. coli as an indication of the presence of E. coli in said sample. In some embodiments, the sample is contacted with a composition comprising the plurality of pairs of primers and the at least one pair of control primers capable of hybridizing to the yaiO gene of E. coli.

Disclosed herein include compositions for detecting V. cholerae. In some embodiments, the composition comprises: at least one pair of primers capable of hybridizing to the ompW gene of V. cholerae, wherein each primer in said at least one pair of primers comprises any one of the sequences of SEQ ID NOs: 1-8, or a sequence that exhibits at least about 85% identity to any one of the sequences of SEQ ID NOs: 1-8; at least one pair of primers capable of hybridizing to the rfbN gene of V. cholerae serogroup O1, wherein each primer in said at least one pair of primers comprises any one of the sequences of SEQ ID NOs: 12-19, or a sequence that exhibits at least about 85% identity to any one of the sequences of SEQ ID NOs: 12-19; at least one pair of primers capable of hybridizing to the wbfR gene of V. cholerae serogroup O139, wherein each primer in said at least one pair of primers comprises any one of the sequences of SEQ ID NOs: 24-33, or a sequence that exhibits at least about 85% identity to any one of the sequences of SEQ ID NOs: 24-33; and at least one pair of primers capable of hybridizing to the ctxA (cholera toxin) gene of V. cholerae, wherein each primer in said at least one pair of primers comprises any one of the sequences of SEQ ID NOs: 39-48, or a sequence that exhibits at least about 85% identity to any one of the sequences of SEQ ID NOs: 39-48. The composition can comprise: at least one pair of control primers capable of hybridizing to the yaiO gene of E. coli, wherein each primer in said at least one pair of control primers comprises any one of the sequences of SEQ ID NOs: 53-62, or a sequence that exhibits at least about 85% identity to any one of the sequences of SEQ ID NOs: 53-62.

The composition can comprise: a plurality of oligonucleotide probes, wherein each of the plurality of oligonucleotide probes comprises a sequence selected from the group consisting of SEQ ID NOs: 9-11, 20-23, 34-38, 49-52, and 63-67, or a sequence that exhibits at least about 85% identity to a sequence selected from the group consisting of SEQ ID NOs: 9-11, 20-23, 34-38, 49-52, and 63-67.

Disclosed herein include probes or primers up to about 100 nucleotides in length which is capable of hybridizing to the ompW gene of V. cholerae. In some embodiments, the probe or primer comprises: a sequence selected from the group consisting of SEQ ID NOs: 1-11, or sequence that exhibits at least about 85% identity to a sequence selected from the group consisting of SEQ ID NOs: 1-11.

Disclosed herein include probes or primers up to about 100 nucleotides in length which is capable of hybridizing to the rfbN gene of V. cholerae serogroup O1. In some embodiments, the probe or primer comprises: a sequence selected from the group consisting of SEQ ID NOs: 12-23, or sequence that exhibits at least about 85% identity to a sequence selected from the group consisting of SEQ ID NOs: 12-23.

Disclosed herein include probes or primers up to about 100 nucleotides in length which is capable of hybridizing to the wbfR gene of V. cholerae serogroup O139. In some embodiments, the probe or primer comprises: a sequence selected from the group consisting of SEQ ID NOs: 24-38, or sequence that exhibits at least about 85% identity to a sequence selected from the group consisting of SEQ ID NOs: 24-38.

Disclosed herein include probes or primers up to about 100 nucleotides in length which is capable of hybridizing to the ctxA (cholera toxin) gene of V. cholerae. In some embodiments, the probe or primer comprises: a sequence selected from the group consisting of SEQ ID NOs: 39-52, or sequence that exhibits at least about 85% identity to a sequence selected from the group consisting of SEQ ID NOs: 39-52.

Disclosed herein include probes or primers up to about 100 nucleotides in length which is capable of hybridizing to the yaiO gene of E. coli. In some embodiments, the probe or primer comprises: comprises a sequence selected from the group consisting of SEQ ID NOs: 53-67, or sequence that exhibits at least about 85% identity to a sequence selected from the group consisting of SEQ ID NOs: 53-67.

Disclosed herein include compositions. In some embodiments, the composition comprises one or more, or two or more, of the oligonucleotide probes and primers disclosed herein, and optionally one or more of the enzymes for nucleic acid extension and/or amplification.

Definitions

As used herein, the term “nucleic acid” can refer to a polynucleotide sequence, or fragment thereof. A nucleic acid can comprise nucleotides. A nucleic acid can be exogenous or endogenous to a cell. A nucleic acid can exist in a cell-free environment. A nucleic acid can be a gene or fragment thereof. A nucleic acid can be DNA. A nucleic acid can be RNA. A nucleic acid can comprise one or more analogs (e.g., altered backbone, sugar, or nucleobase). Some non-limiting examples of analogs include: 5-bromouracil, peptide nucleic acid, xeno nucleic acid, morpholinos, locked nucleic acids, glycol nucleic acids, threose nucleic acids, dideoxynucleotides, cordycepin, 7-deaza-GTP, fluorophores (e.g., rhodamine or fluorescein linked to the sugar), thiol containing nucleotides, biotin linked nucleotides, fluorescent base analogs, CpG islands, methyl-7-guanosine, methylated nucleotides, inosine, thiouridine, pseudouridine, dihydrouridine, queuosine, and wyosine. “Nucleic acid”, “polynucleotide, “target polynucleotide”, “target nucleic acid”, and “target sequence” can be used interchangeably. As used herein, a “nucleic acid” can refer to a polymeric compound comprising nucleosides or nucleoside analogs which have nitrogenous heterocyclic bases, or base analogs, linked together by nucleic acid backbone linkages (e.g., phosphodiester bonds) to form a polynucleotide. Non-limiting examples of nucleic acid include RNA, DNA, and analogs thereof. The nucleic acid backbone can include a variety of linkages, for example, one or more of sugar-phosphodiester linkages, peptide-nucleic acid bonds, phosphorothioate or methylphosphonate linkages or mixtures of such linkages in a single oligonucleotide. Sugar moieties in the nucleic acid can be either ribose or deoxyribose, or similar compounds with known substitutions. Conventional nitrogenous bases (e.g., A, G, C, T, U), known base analogs (e.g., inosine), derivatives of purine or pyrimidine bases and “abasic” residues (i.e., no nitrogenous base for one or more backbone positions) are included in the term nucleic acid. That is, a nucleic acid can include only conventional sugars, bases and linkages found in RNA and DNA, or include both conventional components and substitutions (e.g., conventional bases and analogs linked via a methoxy backbone, or conventional bases and one or more base analogs linked via an RNA or DNA backbone).

A nucleic acid can comprise one or more modifications (e.g., a base modification, a backbone modification), to provide the nucleic acid with a new or enhanced feature (e.g., improved stability). A nucleic acid can comprise a nucleic acid affinity tag. A nucleoside can be a base-sugar combination. The base portion of the nucleoside can be a heterocyclic base. The two most common classes of such heterocyclic bases are the purines and the pyrimidines. Nucleotides can be nucleosides that further include a phosphate group covalently linked to the sugar portion of the nucleoside. For those nucleosides that include a pentofuranosyl sugar, the phosphate group can be linked to the 2′, the 3′, or the 5′ hydroxyl moiety of the sugar. In forming nucleic acids, the phosphate groups can covalently link adjacent nucleosides to one another to form a linear polymeric compound. In turn, the respective ends of this linear polymeric compound can be further joined to form a circular compound; however, linear compounds are generally suitable. In addition, linear compounds may have internal nucleotide base complementarity and may therefore fold in a manner as to produce a fully or partially double-stranded compound. Within nucleic acids, the phosphate groups can commonly be referred to as forming the internucleoside backbone of the nucleic acid. The linkage or backbone can be a 3′ to 5′ phosphodiester linkage.

A nucleic acid can comprise a modified backbone and/or modified internucleoside linkages. Modified backbones can include those that retain a phosphorus atom in the backbone and those that do not have a phosphorus atom in the backbone. Suitable modified nucleic acid backbones containing a phosphorus atom therein can include, for example, phosphorothioates, chiral phosphorothioates, phosphorodithioates, phosphotriesters, aminoalkyl phosphotriesters, methyl and other alkyl phosphonate such as 3′-alkylene phosphonates, 5′-alkylene phosphonates, chiral phosphonates, phosphinates, phosphoramidates including 3′-amino phosphoramidate and aminoalkyl phosphoramidates, phosphorodiamidates, thionophosphoramidates, thionoalkylphosphonates, thionoalkylphosphotriesters, selenophosphates, and boranophosphates having normal 3′-5′ linkages, 2′-5′ linked analogs, and those having inverted polarity wherein one or more internucleotide linkages is a 3′ to 3′, a 5′ to 5′ or a 2′ to 2′ linkage.

A nucleic acid can comprise polynucleotide backbones that are formed by short chain alkyl or cycloalkyl internucleoside linkages, mixed heteroatom and alkyl or cycloalkyl internucleoside linkages, or one or more short chain heteroatomic or heterocyclic internucleoside linkages. These can include those having morpholino linkages (formed in part from the sugar portion of a nucleoside); siloxane backbones; sulfide, sulfoxide and sulfone backbones; formacetyl and thioformacetyl backbones; methylene formacetyl and thioformacetyl backbones; riboacetyl backbones; alkene containing backbones; sulfamate backbones; methyleneimino and methylenehydrazino backbones; sulfonate and sulfonamide backbones; amide backbones; and others having mixed N, O, S and CH₂ component parts.

A nucleic acid can comprise a nucleic acid mimetic. The term “mimetic” can be intended to include polynucleotides wherein only the furanose ring or both the furanose ring and the internucleotide linkage are replaced with non-furanose groups, replacement of only the furanose ring can also be referred as being a sugar surrogate. The heterocyclic base moiety or a modified heterocyclic base moiety can be maintained for hybridization with an appropriate target nucleic acid. One such nucleic acid can be a peptide nucleic acid (PNA). In a PNA, the sugar-backbone of a polynucleotide can be replaced with an amide containing backbone, in particular an aminoethylglycine backbone. The nucleotides can be retained and are bound directly or indirectly to aza nitrogen atoms of the amide portion of the backbone. The backbone in PNA compounds can comprise two or more linked aminoethylglycine units which gives PNA an amide containing backbone. The heterocyclic base moieties can be bound directly or indirectly to aza nitrogen atoms of the amide portion of the backbone.

A nucleic acid can comprise a morpholino backbone structure. For example, a nucleic acid can comprise a 6-membered morpholino ring in place of a ribose ring. In some of these embodiments, a phosphorodiamidate or other non-phosphodiester internucleoside linkage can replace a phosphodiester linkage.

A nucleic acid can comprise linked morpholino units (e.g., morpholino nucleic acid) having heterocyclic bases attached to the morpholino ring. Linking groups can link the morpholino monomeric units in a morpholino nucleic acid. Non-ionic morpholino-based oligomeric compounds can have less undesired interactions with cellular proteins. Morpholino-based polynucleotides can be nonionic mimics of nucleic acids. A variety of compounds within the morpholino class can be joined using different linking groups. A further class of polynucleotide mimetic can be referred to as cyclohexenyl nucleic acids (CeNA). The furanose ring normally present in a nucleic acid molecule can be replaced with a cyclohexenyl ring. CeNA DMT protected phosphoramidite monomers can be prepared and used for oligomeric compound synthesis using phosphoramidite chemistry. The incorporation of CeNA monomers into a nucleic acid chain can increase the stability of a DNA/RNA hybrid. CeNA oligoadenylates can form complexes with nucleic acid complements with similar stability to the native complexes. A further modification can include Locked Nucleic Acids (LNAs) in which the 2′-hydroxyl group is linked to the 4′ carbon atom of the sugar ring thereby forming a 2′-C, 4′-C-oxymethylene linkage thereby forming a bicyclic sugar moiety. The linkage can be a methylene (—CH₂), group bridging the 2′ oxygen atom and the 4′ carbon atom wherein n is 1 or 2. LNA and LNA analogs can display very high duplex thermal stabilities with complementary nucleic acid (Tm=+3 to +10° C.), stability towards 3′-exonucleolytic degradation and good solubility properties.

A nucleic acid may also include nucleobase (often referred to simply as “base”) modifications or substitutions. As used herein, “unmodified” or “natural” nucleobases can include the purine bases, (e.g., adenine (A) and guanine (G)), and the pyrimidine bases, (e.g., thymine (T), cytosine (C) and uracil (U)). Modified nucleobases can include other synthetic and natural nucleobases such as 5-methylcytosine (5-me-C), 5-hydroxymethyl cytosine, xanthine, hypoxanthine, 2-aminoadenine, 6-methyl and other alkyl derivatives of adenine and guanine, 2-propyl and other alkyl derivatives of adenine and guanine, 2-thiouracil, 2-thiothymine and 2-thiocytosine, 5-halouracil and cytosine, 5-propynyl (—C═C—CH3) uracil and cytosine and other alkynyl derivatives of pyrimidine bases, 6-azo uracil, cytosine and thymine, 5-uracil (pseudouracil), 4-thiouracil, 8-halo, 8-amino, 8-thiol, 8-thioalkyl, 8-hydroxyl and other 8-substituted adenines and guanines, 5-halo particularly 5-bromo, 5-trifluoromethyl and other 5-substituted uracils and cytosines, 7-methylguanine and 7-methyladenine, 2-F-adenine, 2-aminoadenine, 8-azaguanine and 8-azaadenine, 7-deazaguanine and 7-deazaadenine and 3-deazaguanine and 3-deazaadenine. Modified nucleobases can include tricyclic pyrimidines such as phenoxazine cytidine(1H-pyrimido(5,4-b)(1,4)benzoxazin-2(3H)-one), phenothiazine cytidine (1H-pyrimido(5,4-b)(1,4)benzothiazin-2(3H)-one), G-clamps such as a substituted phenoxazine cytidine (e.g., 9-(2-aminoethoxy)-H-pyrimido(5,4-(b) (1,4)benzoxazin-2(3H)-one), phenothiazine cytidine (1H-pyrimido(5,4-b)(1,4)benzothiazin-2(3H)-one), G-clamps such as a substituted phenoxazine cytidine (e.g., 9-(2-aminoethoxy)-H-pyrimido(5,4-(b) (1,4)benzoxazin-2(3H)-one), carbazole cytidine (2H-pyrimido(4,5-b)indol-2-one), pyridoindole cytidine (H-pyrido(3′,2′:4,5)pyrrolo[2,3-d]pyrimidin-2-one).

As used herein, the term “isolate nucleic acids” can refer to the purification of nucleic acids from one or more cellular components. One of skill in the art will appreciate that samples processed to “isolate nucleic acids” therefrom can include components and impurities other than nucleic acids. Samples that comprise isolated nucleic acids can be prepared from specimens using any acceptable method known in the art. For example, cells can be lysed using known lysis agents, and nucleic acids can be purified or partially purified from other cellular components. Suitable reagents and protocols for DNA and RNA extractions can be found in, for example, U.S. Patent Application Publication Nos. US 2010-0009351, and US 2009-0131650, respectively (each of which is incorporated herein by reference in its entirety). In nucleic acid testing (e.g., amplification and hybridization methods discussed in further detail below), the extracted nucleic acid solution can be added directly to a reagents (e.g., either in liquid, bound to a substrate, in lyophilized form, or the like, as discussed in further detail below), required to perform a test according to the embodiments disclosed herein.

As used herein, “template” can refer to all or part of a polynucleotide containing at least one target nucleotide sequence.

As used herein, a “primer” can refer to a polynucleotide that can serve to initiate a nucleic acid chain extension reaction. The length of a primer can vary, for example, from about 5 to about 100 nucleotides, from about 10 to about 50 nucleotides, from about 15 to about 40 nucleotides, or from about 20 to about 30 nucleotides. The length of a primer can be about 10 nucleotides, about 20 nucleotides, about 25 nucleotides, about 30 nucleotides, about 35 nucleotides, about 40 nucleotides, about 50 nucleotides, about 75 nucleotides, about 100 nucleotides, or a range between any two of these values. In some embodiments, the primer has a length of 10 to about 50 nucleotides, i.e., 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, or more nucleotides. In some embodiments, the primer has a length of 18 to 32 nucleotides.

As used herein, a “probe” can refer to an polynucleotide that can hybridizes (e.g., specifically) to a target sequence in a nucleic acid, under conditions that allow hybridization, thereby allowing detection of the target sequence or amplified nucleic acid. A probe's “target” generally refers to a sequence within or a subset of an amplified nucleic acid sequence which hybridizes specifically to at least a portion of a probe oligomer by standard hydrogen bonding (i.e., base pairing). A probe may comprise target-specific sequences and other sequences that contribute to three-dimensional conformation of the probe. Sequences are “sufficiently complementary” if they allow stable hybridization in appropriate hybridization conditions of a probe oligomer to a target sequence that is not completely complementary to the probe's target-specific sequence. The length of a probe can vary, for example, from about 5 to about 100 nucleotides, from about 10 to about 50 nucleotides, from about 15 to about 40 nucleotides, or from about 20 to about 30 nucleotides. The length of a probe can be about 10 nucleotides, about 20 nucleotides, about 25 nucleotides, about 30 nucleotides, about 35 nucleotides, about 40 nucleotides, about 50 nucleotides, about 100 nucleotides, or a range between any two of these values. In some embodiments, the probe has a length of 10 to about 50 nucleotides. For example, the primers and or probes can be at least 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, or more nucleotides. In some embodiments, the probe can be non-sequence specific.

Preferably, the primers and/or probes can be between 8 and 45 nucleotides in length. For example, the primers and or probes can be at least 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, or more nucleotides in length. The primer and probe can be modified to contain additional nucleotides at the 5′ or the 3′ terminus, or both. One of skill in the art will appreciate that additional bases to the 3′ terminus of amplification primers (not necessarily probes) are generally complementary to the template sequence. The primer and probe sequences can also be modified to remove nucleotides at the 5′ or the 3′ terminus. One of skill in the art will appreciate that in order to function for amplification, the primers or probes will be of a minimum length and annealing temperature as disclosed herein.

Primers and probes can bind to their targets at an annealing temperature, which is a temperature less than the melting temperature (T_(m)). As used herein, “T_(m)” and “melting temperature” are interchangeable terms which refer to the temperature at which 50% of a population of double-stranded polynucleotide molecules becomes dissociated into single strands. The formulae for calculating the T_(m) of polynucleotides are well known in the art. For example, the T_(m) may be calculated by the following equation: T_(m)=69.3+0.41×(G+C) %−6−50/L, wherein L is the length of the probe in nucleotides. The T_(m) of a hybrid polynucleotide may also be estimated using a formula adopted from hybridization assays in 1 M salt, and commonly used for calculating T_(m) for PCR primers: [(number of A+T)×2° C.+(number of G+C)×4° C.]. See, e.g., C. R. Newton et al. PCR, 2nd ed., Springer-Verlag (New York: 1997), p. 24 (incorporated by reference in its entirety, herein). Other more sophisticated computations exist in the art, which take structural as well as sequence characteristics into account for the calculation of T_(m). The melting temperature of an oligonucleotide can depend on complementarity between the oligonucleotide primer or probe and the binding sequence, and on salt conditions. In some embodiments, an oligonucleotide primer or probe provided herein has a T_(m) of less than about 90° C. in 50 mM KCl, 10 mM Tris-HCl buffer, for example about 89° C., 88, 87, 86, 85, 84, 83, 82, 81, 80 79, 78, 77, 76, 75, 74, 73, 72, 71, 70, 69, 68, 67, 66, 65, 64, 63, 62, 61, 60, 59, 58, 57, 56, 55, 54, 53, 52, 50, 49, 48, 47, 46, 45, 44, 43, 42, 41, 40, 39° C., or less, including ranges between any two of the listed values.

In some embodiments, the primers disclosed herein, e.g., amplification primers, can be provided as an amplification primer pair, e.g., comprising a forward primer and a reverse primer (first amplification primer and second amplification primer). Preferably, the forward and reverse primers have T_(m)'s that do not differ by more than 10° C., e.g., that differ by less than 10° C., less than 9° C., less than 8° C., less than 7° C., less than 6° C., less than 5° C., less than 4° C., less than 3° C., less than 2° C., or less than 1° C.

The primer and probe sequences may be modified by having nucleotide substitutions (relative to the target sequence) within the oligonucleotide sequence, provided that the oligonucleotide contains enough complementarity to hybridize specifically to the target nucleic acid sequence. In this manner, at least 1, 2, 3, 4, or up to about 5 nucleotides can be substituted. As used herein, the term “complementary” can refer to sequence complementarity between regions of two polynucleotide strands or between two regions of the same polynucleotide strand. A first region of a polynucleotide is complementary to a second region of the same or a different polynucleotide if, when the two regions are arranged in an antiparallel fashion, at least one nucleotide of the first region is capable of base pairing with a base of the second region. Therefore, it is not required for two complementary polynucleotides to base pair at every nucleotide position. “Fully complementary” can refer to a first polynucleotide that is 100% or “fully” complementary to a second polynucleotide and thus forms a base pair at every nucleotide position. “Partially complementary” also can refer to a first polynucleotide that is not 100% complementary (e.g., 90%, or 80% or 70% complementary) and contains mismatched nucleotides at one or more nucleotide positions. In some embodiments, an oligonucleotide includes a universal base.

As used herein, an “exogenous nucleotide sequence” can refer to a sequence introduced by primers or probes used for amplification, such that amplification products will contain exogenous nucleotide sequence and target nucleotide sequence in an arrangement not found in the original template from which the target nucleotide sequence was copied.

As used herein, “sequence identity” or “percent identical” as applied to nucleic acid molecules can refer to the percentage of nucleic acid residues in a candidate nucleic acid molecule sequence that are identical with a subject nucleic acid molecule sequence, after aligning the sequences to achieve the maximum percent identity, and not considering any nucleic acid residue substitutions as part of the sequence identity. Nucleic acid sequence identity can be determined using any method known in the art, for example CLUSTALW, T-COFFEE, BLASTN.

As used herein, the term “sufficiently complementary” can refer to a contiguous nucleic acid base sequence that is capable of hybridizing to another base sequence by hydrogen bonding between a series of complementary bases. Complementary base sequences can be complementary at each position in the oligomer sequence by using standard base pairing (e.g., G:C, A:T or A:U) or can contain one or more residues that are not complementary (including abasic positions), but in which the entire complementary base sequence is capable of specifically hybridizing with another base sequence in appropriate hybridization conditions. Contiguous bases can be at least about 80%, at least about 85%, at least about 90%, at least about 95%, at least about 99%, or 100% complementary to a sequence to which an oligomer is intended to hybridize. Substantially complementary sequences can refer to sequences ranging in percent identity from 100, 99, 98, 97, 96, 95, 94, 93, 92, 91, 90, 89, 88, 87, 86, 85, 84, 83, 82, 81, 80, 75, 70 or less, or any number in between, compared to the reference sequence. A skilled artisan can readily choose appropriate hybridization conditions which can be predicted based on base sequence composition, or be determined by using routine testing (see e.g., Green and Sambrook, Molecular Cloning, A Laboratory Manual, 4th ed. (Cold Spring Harbor Laboratory Press, Cold Spring Harbor, N.Y., 2012)).

As used herein, the term “multiplex PCR” refers to a type of PCR where more than one set of primers is included in a reaction allowing one single target, or two or more different targets, to be amplified in a single reaction vessel (e.g., tube). The multiplex PCR can be, for example, a real-time PCR.

Oligonucleotides and Compositions Containing Thereof

As described herein, nucleic acid amplifications can be performed to determine the presence, absence, type, and/or level of one or more of V. cholerae, V. cholerae serogroup O1, V. cholerae serogroup O139, and V. cholerae encoding cholera toxin in a sample. In some embodiments, the presence, absence and/or level of one or more of V. cholerae, V cholerae serogroup O1, V. cholerae serogroup O139, and V. cholerae encoding cholera toxin is determined by detecting one or more target genes of each of the target organisms using methods known in the art, such as DNA amplifications. In some embodiments, a multiplex PCR can be performed to detect the presence, absence or level of one or more of V. cholerae, V cholerae serogroup O1, V. cholerae serogroup O139, and V. cholerae encoding cholera toxin.

There are provided, in some embodiments, multiplex real-time PCR (Polymerase Chain Reaction) primers and probes combinations as well as detection methods for simultaneous identification and determination of the potential virulence of Vibrio cholerae. There are provided, in some embodiments, methods (e.g., multiplex RT PCR assays) and compositions (e.g., primers and probes) targeting a species-specific ompW gene present in all strains of V. cholerae and used as a marker for the species, rfbN and wbfR, encoding the O1 and O139 somatic antigens, and ctxA, encoding CT. In addition, in some embodiments of the methods and compositions provided herein, the Escherichia coli specific yaiO gene is employed as the marker of internal control added to the multiplex PCR to indicate false-negative results (e.g., caused by the PCR inhibitors, instrument or reagent failure).

Disclosed herein include methods and compositions (e.g., reagents utilizing fluorogenic sequence-specific hybridization probes) which provide a rapid and economical solution to: (1) identification of V. cholerae strains; (2) differentiation of O1 and O139 serotypes; (3) detection of cholera toxin; (4) monitoring the quality of fecal sample; and/or (5) quality control of the DNA extraction and real-time PCR processes. The methods provided herein can comprise: subjecting the DNA from a sample (e.g., a fecal sample) or culture suspected of containing V. cholerae to a multiplex polymerase chain reaction amplification utilizing 5 sets of concentration optimized primer pairs and probes; treating the reaction mixture under the optimum thermal condition, and detecting amplified DNA targets by monitor fluorescence signals of the hydrolysis (TaqMan®) probes at each cycle and interprets the data at the end of the program to report the final results. Disclosed herein include multiplex PCR primers and probes designed and screened using primer design software Primer 3 and Beacon Designer. The 5 sets of optimized primers and probes can comprise the primers and probes shown in Table 1. Rapid and highly sensitive detection and discrimination of a very important diarrhea pathogen is achieved by the methodology herein provided.

There are provided, in some embodiments, Taqman probe-based real-time multiplex PCR compositions and methods. Disclosed herein include TaqMan probe-based multiplex real-time PCR compositions (e.g., reagents) and methods (e.g., assays) for rapid identification and typing of Vibrio cholerae. As compared to currently available methods, the advantages of this invention include: (1) 5 gene targets can be simultaneously detected by using the established multiplex PCR detection method, by which V. cholerae identification, serotyping and cholera toxin detection can be achieved in a single PCR reaction; (2) the designed internal control can monitor the quality of the fecal sample and indicate false-negative results that are mainly caused by the PCR inhibitors, instrument or reagent failure; and (3) the primers/probes combinations and multiplex real-time PCR methods provided disclosed herein can achieve high sensitivity, inclusivity, and specificity. Moreover, the disclosed methods are both fast and easy to perform.

Each of the target V. cholerae, V. cholerae serogroup O1, V. cholerae serogroup O139, and V. cholerae encoding cholera toxin can be detected using separate channels in DNA amplifications. In some embodiments, it can be desirable to use a single fluorescence channel for detecting the presence, absence, and/or level of two or more of the V. cholerae, V. cholerae serogroup O1, V. cholerae serogroup O139, and V. cholerae encoding cholera toxin. Such combination may, in some embodiments, reduce the amount of reagent needed to conduct the experiment as well as provide an accurate qualitative metric upon which a cholera determination can be assessed.

Oligonucleotides (for example amplification primers and probes) that are capable of specifically hybridizing (e.g., under standard nucleic acid amplification conditions, e.g., standard PCR conditions, and/or stringent hybridization conditions) to a target gene region, or complement thereof, in V. cholerae, V. cholerae serogroup O1, V. cholerae serogroup O139, and V. cholerae encoding cholera toxin are provided. Amplification of the target gene region of an organism in a sample (e.g., a stool sample) can, in some embodiments, be indicative of the presence, absence, and/or level of the organism in the sample.

The target gene region can vary. In some embodiments, species-specific ompW gene present in all strains of V. cholerae is used as a marker for the species. In some embodiments, oligonucleotides (e.g., amplification primers and probes) that are capable of specifically hybridizing (e.g., under standard nucleic acid amplification conditions, e.g., standard PCR conditions, and/or stringent hybridization conditions) to a gene region encoding ompW in V. cholerae are provided. In some embodiments, ompW gene is used as the target gene for the DNA amplification to detect the presence, absence and/or level of V. cholerae in the sample. In some embodiments, primers and probes that can specifically bind to the ompW gene region of V. cholerae are used in detection of the presence, absence and/or level of V. cholerae in a biological sample. Examples of oligonucleotides capable of specifically hybridizing to the ompW gene region in V. cholerae include, but are not limited, SEQ ID NOs: 1-11 as provided in Table 1 and sequences that exhibits at least about 85% identity to a sequence selected from the group consisting of SEQ ID NOs: 1-11.

In some embodiments, rfbN, encoding the O1 somatic antigen, is used as a marker for V. cholerae serogroup O1. In some embodiments, oligonucleotides (e.g., amplification primers and probes) that are capable of specifically hybridizing (e.g., under standard nucleic acid amplification conditions, e.g., standard PCR conditions, and/or stringent hybridization conditions) to a gene region encoding rfbN in V. cholerae serogroup Glare provided. In some embodiments, rfbN gene is used as the target gene for the DNA amplification to detect the presence, absence and/or level of V. cholerae serogroup O1 in the sample. In some embodiments, primers and probes that can specifically bind to the rfbN gene region of V. cholerae serogroup O1 are used in detection of the presence, absence and/or level of V. cholerae serogroup O1 in a biological sample. Examples of oligonucleotides capable of specifically hybridizing to the rfbN gene region in V. cholerae serogroup O1 include, but are not limited, SEQ ID NOs: 12-23 as provided in Table 1 and sequences that exhibits at least about 85% identity to a sequence selected from the group consisting of SEQ ID NOs: 12-23.

In some embodiments, wbfR, encoding the O139 somatic antigen, is used as a marker for V. cholerae serogroup O139. In some embodiments, oligonucleotides (e.g., amplification primers and probes) that are capable of specifically hybridizing (e.g., under standard nucleic acid amplification conditions, e.g., standard PCR conditions, and/or stringent hybridization conditions) to a gene region encoding wbfR in V. cholerae serogroup O139 are provided. In some embodiments, wbfR gene is used as the target gene for the DNA amplification to detect the presence, absence and/or level of V. cholerae serogroup O139 in the sample. In some embodiments, primers and probes that can specifically bind to the wbfR gene region of V. cholerae serogroup O139 are used in detection of the presence, absence and/or level of V. cholerae serogroup O139 in a biological sample. Examples of oligonucleotides capable of specifically hybridizing to the wbfR gene region in V. cholerae serogroup O139 include, but are not limited, SEQ ID NOs: 24-38 as provided in Table 1 and sequences that exhibits at least about 85% identity to a sequence selected from the group consisting of SEQ ID NOs: 24-38.

In some embodiments, ctxA is used as a marker for V. cholerae encoding cholera toxin. In some embodiments, oligonucleotides (e.g., amplification primers and probes) that are capable of specifically hybridizing (e.g., under standard nucleic acid amplification conditions, e.g., standard PCR conditions, and/or stringent hybridization conditions) to a gene region encoding ctxA in V. cholerae are provided. In some embodiments, ctxA gene is used as the target gene for the DNA amplification to detect the presence, absence and/or level of V. cholerae encoding cholera toxin in the sample. In some embodiments, primers and probes that can specifically bind to the ctxA gene region of V. cholerae are used in detection of the presence, absence and/or level of V. cholerae encoding ctxA in a biological sample. Examples of oligonucleotides capable of specifically hybridizing to the ctxA gene region in V. cholerae include, but are not limited, SEQ ID NOs: 39-52 as provided in Table 1 and sequences that exhibits at least about 85% identity to a sequence selected from the group consisting of SEQ ID NOs: 39-52.

In addition, in some embodiments of the methods and compositions provided herein, the Escherichia coli specific yaiO gene is employed as the marker of internal control added to the multiplex PCR to indicate false-negative results (e.g., caused by the PCR inhibitors, instrument or reagent failure). In some embodiments, oligonucleotides (e.g., amplification primers and probes) that are capable of specifically hybridizing (e.g., under standard nucleic acid amplification conditions, e.g., standard PCR conditions, and/or stringent hybridization conditions) to a gene region encoding yaiO in E. coli are provided. In some embodiments, yaiO gene is used as the target gene for the DNA amplification to detect the presence, absence and/or level of E. coli in the sample. In some embodiments, primers and probes that can specifically bind to the yaiO gene region of E. coli are used in detection of the presence, absence and/or level of E. coli in a biological sample (e.g., as an internal control). Examples of oligonucleotides capable of specifically hybridizing to the yaiO gene region in E. coli include, but are not limited, SEQ ID NOs: 53-67 as provided in Table 1 and sequences that exhibits at least about 85% identity to a sequence selected from the group consisting of SE ID NOs: 53-67.

TABLE 1 Non-limiting examples of primers and probes for detection of V. cholerae, V. cholerae serogroup O1, V. cholerae serogroup O139, V. cholerae encoding cholera toxin, and E. coli Target Organism/ Primer/ Primer/ Target Probe Probe Gene combination Name Primer/Probe Sequences (5′-3′) V. A1 A1-ompW-FP ATTGAAACAACGGCAACCTA (SEQ ID NO: 1) cholerae/ A1 A1-ompW-RP ACCACCCGCGATCATAAAT (SEQ ID NO: 2) ompW A1 A1-ompW-Probe CAGGTGCAGATGCCAAATCCACGGAT (SEQ ID NO: 9) (e.g., 5′ fluorophore: 6-FAM, 3′ quencher: BHQ1) A2 A2-ompW-FP GAAACAACGGCAACCTACAA (SEQ ID NO: 3) A2 A2-ompW-RP ACCACCCGCGATCATAAATA (SEQ ID NO: 4) A2 A2-ompW-Probe TGCAGATGCCAAATCCACGGATGTTGAAATCA (SEQ ID NO: 10) (e.g., 5′ fluorophore: 6-FAM, 3′ quencher: BHQ1) A3 A3-ompW-FP AACAACGGCAACCTACAAAG (SEQ ID NO: 5) A3 A3-ompW-RP ATAACCACCCGCGATCATAA (SEQ ID NO: 6) A3 A3-ompW-Probe TGCAGATGCCAAATCCACGGATGTTGAAATCA (SEQ ID NO: 10) (e.g., 5′ fluorophore: 6-FAM, 3′ quencher: BHQ1) A4 A4-ompW-FP CTGGTTCCTCAACGCTTCT (SEQ ID NO: 7) A4 A4-ompW-RP ATCCGTGGATTTGGCATCT (SEQ ID NO: 8) A4 A4-ompW-Probe TTGAAACAACGGCAACCTACAAAGCAGGTG (SEQ ID NO: 11) (e.g., 5′ fluorophore: 6-FAM, 3′ quencher: BHQ1) V. B1 B1-rfbN-FP GTTGAGAAGGGCGGTCTAATAA (SEQ ID NO: 12) cholerae B1 B1-rfbN-RP TGTCTGGTACTTGAGTTGGTAAG (SEQ ID NO: 13) serogroup B1 B1-rfbN-probe TACAAGAGCCTTATCCATTGCTGAGGCAAGCT (SEQ ID NO: 20) O1/rfbN (e.g., 5′ fluorophore: ROX, 3′ quencher: BHQ2) B2 B2-rfbN-FP TGACGTAATTATTCGTGATGAATCG (SEQ ID NO: 14) B2 B2-rfbN-RP CACTCACAAAGACTTTCTTCAATCA (SEQ ID NO: 15) B2 B2-rfbN-probe ACCAAGGTCATCTGTAAGTACAACATTCCC (SEQ ID NO: 21) (e.g., 5′ fluorophore: ROX, 3′ quencher: BHQ2) B3 B3-rfbN-FP AGCCCACTACCGCATTCAT (SEQ ID NO: 16) B3 B3-rfbN-RP AACATCACCACAGCCTCTTACT (SEQ ID NO: 17) B3 B3-rfbN-probe CTTTTTTTGCTCGTCCAATGACTTTGAATCTTT (SEQ ID NO: 22) (e.g., 5′ fluorophore: ROX, 3′ quencher: BHQ2) B4 B5-rfbN-FP GCAACGAGATGTATCGCAAA (SEQ ID NO: 18) B4 B5-rfbN-RP GCACAGGTATGGGTGGAATA (SEQ ID NO: 19) B4 B5-rfbN-probe CAACCTCACCATCAAATACCAAAGGGTCAAAT (SEQ ID NO: 23) (e.g., 5′ fluorophore: ROX, 3′ quencher: BHQ2) V. C1 C1-wbfR-15F CTGACTTAACAGAACTTTCCCATC (SEQ ID NO: 24) cholerae C1 C1-wbfR-15R CAGCAATGCGGTGGTCTAAC (SEQ ID NO: 25) serogroup C1 C1-wbfR-probe AACCCGCCCTTCTAATGAACACGCCATC (SEQ ID NO: 34) O139/wbfR (e.g., 5′ fluorophore: CY5.5, 3′ quencher: BHQ3) C2 C2-wbfR-15F TGCTACGATGGCGTGTTCA (SEQ ID NO: 26) C2 C2-wbfR-15R TCCCTTTCCACCTCGGTATT (SEQ ID NO: 27) C2 C2-wbfR-probe CAAATGGATCGGCAAACTGGCAGCAAACTCA (SEQ ID NO: 35) (e.g., 5′ fluorophore: CY5.5, 3′ quencher: BHQ3) C3 C3-wbfR-15F GGCGGGTTCCCTTGTTAGAC (SEQ ID NO: 28) C3 C3-wbfR-15R TCCCTTTCCACCTCGGTATTTCAA (SEQ ID NO: 29) C3 C3-wbfR-probe CGCATTGCTGAGTTTGCTGCCAGTTTGCCGATC (SEQ ID NO: 36) (e.g., 5′ fluorophore: CY5.5, 3′ quencher: BHQ3) C4 C4-wbfR-15F CTCTCTACTCGTCCGGTCAAA (SEQ ID NO: 30) C4 C4-wbfR-15R ACTCGACATGATCCGTTCCT (SEQ ID NO: 31) C4 C4-wbfR-probe CCTTTACGATCGGGTTTGACCACGCGG (SEQ ID NO: 37) (e.g., 5′ fluorophore: CY5.5, 3′ quencher: BHQ3) C5 C5-wbfR-15F CCCATCGCTGAATGGTTGAGA (SEQ ID NO: 32) C5 C5-wbfR-15R CCACAACTGCGACGACCAAT (SEQ ID NO: 33) C5 C5-wbfR-probe TCGTTTACCCGCTAAATGTTCACGCCACTTCTT (SEQ ID NO: 38) (e.g., 5′ fluorophore: CY5.5, 3′ quencher: BHQ3) V. D1 D1-ctxA-FP ATCATGCAAGAGGAACTCAGA (SEQ ID NO: 39) cholerae D1 D1-ctxA-RP AGTGGGCACTTCTCAAACT (SEQ ID NO: 40) encoding D1 D1-ctxA-probe AGGTGGAAACATATCCATCATCGTGCC (SEQ ID NO: 49) cholera (e.g., 5′ fluorophore: VIC, 3′ quencher: BHQ1) toxin/ D2 D2-ctxA-FP AGCAGTCAGGTGGTCTTATG (SEQ ID NO: 41) ctxA D2 D2-ctxA-RP ATCCATCATCGTGCCTAACA (SEQ ID NO: 42) D2 D2-ctxA-probe TCCCGTCTGAGTTCCTCTTGCATGATC (SEQ ID NO: 50) (e.g., 5′ fluorophore: VIC, 3′ quencher: BHQ1) D3 D3-ctxA-FP TGACCGAGGTACTCAAATGAA (SEQ ID NO: 43) D3 D3-ctxA-RP ATCCATCATCGTGCCTAACAA (SEQ ID NO: 44) D3 D3-ctxA-probe TCCCGTCTGAGTTCCTCTTGCATGATC (SEQ ID NO: 50) (e.g., 5′ fluorophore: VIC, 3′ quencher: BHQ1) D4 D4-ctxA-FP CAGATTCTAGACCTCCTGATGA (SEQ ID NO: 45) D4 D4-ctxA-RP TTGAGTACCTCGGTCAAAGT (SEQ ID NO: 46) D4 D4-ctxA-probe CTCACTCTGTCCTCTTGGCATAAGACCACCT (SEQ ID NO: 51) (e.g., 5′ fluorophore: VIC, 3′ quencher: BHQ1) D5 D5-ctxA-FP GCAGATTCTAGACCTCCTGAT (SEQ ID NO: 47) D5 D5-ctxA-RP CCTCGGTCAAAGTACTCACT (SEQ ID NO: 48) D5 D5-ctxA-probe TGTCCTCTTGGCATAAGACCACCTGACTGC (SEQ ID NO: 52) (e.g., 5′ fluorophore: VIC, 3′ quencher: BHQ1) E. coli/ E1 E1-yaiO-FP CAGCGATGCAGGTGGTAGTT (SEQ ID NO: 53) yaiO E1 E1-yaiO-RP GGCGTCCAGTCATAGGTGTA (SEQ ID NO: 54) E1 E1-yaiO-probe CCTGTTCCGCGGCTTAGCCATAGTTGC (SEQ ID NO: 63) (e.g., 5′ fluorophore: CY5, 3′ quencher: BHQ-3) E2 E2-yaiO-FP GGGCGTCGTGATTATGAAACTG (SEQ ID NO: 55) E2 E2-yaiO-RP GGGCAAAGACCGGCGTATTA (SEQ ID NO: 56) E2 E2-yaiO-probe ACATTTCAATGCCACTCGCGGTCAGGGT (SEQ ID NO: 64) (e.g., 5′ fluorophore: CY5, 3′ quencher: BHQ-3) E3 E3-yaiO-FP CGAACGGGTATTGCCTTTGC (SEQ ID NO: 57) E3 E3-yaiO-RP GCATCGACTTCGACATCATCGTAA (SEQ ID NO: 58) E3 E3-yaiO-probe ATACGCCGGTCTTTGCCCGCCAGGA (SEQ ID NO: 65) (e.g., 5′ fluorophore: CY5, 3′ quencher: BHQ-3) E4 E4-yaiO-FP ATGCCGGGTTAACTTCCA (SEQ ID NO: 59) E4 E4-yaiO-RP CAGCGTTGCGTTTTCAAC (SEQ ID NO: 60) E4 E4-yaiO-probe TCGCCACCAGTTCAGCATACGC (SEQ ID NO: 66) (e.g., 5′ fluorophore: CY5, 3′ quencher: BHQ-3) E5 E5-yaiO-FP CGATGATGTCGAAGTCGA (SEQ ID NO: 61) E5 E5-yaiO-RP GCCATAGTTGCGTATAACC (SEQ ID NO: 62) E5 E5-yaiO-probe CTGGCAAGGCGGCGTATCACTCTATA (SEQ ID NO: 67) (e.g., 5′ fluorophore: CY5, 3′ quencher: BHQ-3)

Also provided herein are oligonucleotides (for example amplification primers or probes) containing 1, 2, 3, 4 or more mismatches or universal nucleotides relative to SEQ ID NOs: 1-67 or the complement thereof, including oligonucleotides that are at least 80% identical (e.g., 80%, 81%, 82%, 83%, 84%, 85%, 86%, 87%, 88%, 89%, 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, 1000%, or a number or a range between any two of these values) to SEQ ID NOs: 1-67 or the complement thereof. In some embodiments, the oligonucleotide comprises a sequence selected from SEQ ID NO: 1-67. In some embodiments, the oligonucleotide comprises a sequence that is at least about 85% identical to a sequence selected from SEQ TD NO: 1-67. In some embodiments, the oligonucleotide consists of a sequence selected from SEQ ID NO: 1-67. In some embodiments, the oligonucleotide consists of a sequence that is at least about 85% identical or at least about 95% identical to a sequence selected from SEQ ID NO: 1-67. In some embodiments, the final reaction concentration of the primers provided herein is about 300 nM. In some embodiments, the final reaction concentration of the probes provided herein is about 100 nM.

There are provided, in some embodiments, primer/probe combinations. A primer/probe combination can comprise a forward primer, a reverse primer, and a probe (e.g, A3-ompW-FP, A3-ompW-RP, and A3-ompW-Probe in tandem). The compositions and methods provided herein can comprise one or more of the primer/probe combinations provided in Table 1. For example, a method or composition can comprise primer/probe combination A3 (e.g, A3-ompW-FP, A3-ompW-RP, and A3-ompW-Probe in tandem). Disclosed herein are methods and compositions comprising two or more primer/probe combinations (e.g., multiplexed reactions). For example, a method or composition can comprise primer/probe combinations A3, B3, C3, and D3 (e.g, A3-ompW-FP, A3-ompW-RP, A3-ompW-Probe, B3-rfbN-FP, B3-rfbN-RP, B3-rfbN-probe, C3-wbfR-15F, C3-wbfR-15R, C3-wbfR-probe, D3-ctxA-FP, D3-ctxA-RP, and D3-ctxA-probe in tandem). Disclosed herein are methods and compositions comprising: (1) one or more primer/probe combinations capable of specifically hybridizing to the sequence of the ompW gene, or a complement thereof, of V. cholerae (e.g., A1, A2, A3, and/or A4); (2) one or more primer/probe combinations capable of specifically hybridizing to the sequence of the rfbN gene, or a complement thereof, of V. cholerae serogroup O1 (e.g., B1, B2, B3, and/or B4); (3) one or more primer/probe combinations capable of specifically hybridizing to the sequence of the wbfR gene, or a complement thereof, of V. cholerae serogroup O139 (e.g., C1, C2, C3, C4, and/or C5); (4) one or more primer/probe combinations capable of specifically hybridizing to the sequence of the ctxA (cholera toxin) gene, or a complement thereof, of V. cholerae (e.g., D1, D2, D3, D4, and/or D5); and/or (5) one or more primer/probe combinations capable of specifically hybridizing to the sequence of the yaiO gene, or a complement thereof, of E. coli (e.g., E1, E2, E3, E4, and/or E5). Disclosed herein are methods and compositions comprising one or more of the primer/probe combinations provided in Table 2. Disclosed herein are methods and compositions comprising one or more of the primer/probe combinations provided in Table 3.

TABLE 2 Multiplexing of the Primer/Probe Combinations shown in Table 1 for detection of V. cholerae, V. cholerae serogroup O1, V. cholerae serogroup O139, and V. cholerae encoding cholera toxin (A1, B1, C1, D1), (A2, B1, C1, D1), (A3, B1, C1, D1), (A4, B1, C1, D1), (A1, B2, C1, D1), (A2, B2, C1, D1), (A3, B2, C1, D1), (A4, B2, C1, D1), (A1, B3, C1, D1), (A2, B3, C1, D1), (A3, B3, C1, D1), (A4, B3, C1, D1), (A1, B4, C1, D1), (A2, B4, C1, D1), (A3, B4, C1, D1), (A4, B4, C1, D1), (A1, B1, C2, D1), (A2, B1, C2, D1), (A3, B1, C2, D1), (A4, B1, C2, D1), (A1, B2, C2, D1), (A2, B2, C2, D1), (A3, B2, C2, D1), (A4, B2, C2, D1), (A1, B3, C2, D1), (A2, B3, C2, D1), (A3, B3, C2, D1), (A4, B3, C2, D1), (A1, B4, C2, D1), (A2, B4, C2, D1), (A3, B4, C2, D1), (A4, B4, C2, D1), (A1, B1, C1, D2), (A2, B1, C1, D2), (A3, B1, C1, D2), (A4, B1, C1, D2), (A1, B2, C1, D2), (A2, B2, C1, D2), (A3, B2, C1, D2), (A4, B2, C1, D2), (A1, B3, C1, D2), (A2, B3, C1, D2), (A3, B3, C1, D2), (A4, B3, C1, D2), (A1, B4, C1, D2), (A2, B4, C1, D2), (A3, B4, C1, D2), (A4, B4, C1, D2), (A1, B1, C2, D2), (A2, B1, C2, D2), (A3, B1, C2, D2), (A4, B1, C2, D2), (A1, B2, C2, D2), (A2, B2, C2, D2), (A3, B2, C2, D2), (A4, B2, C2, D2), (A1, B3, C2, D2), (A2, B3, C2, D2), (A3, B3, C2, D2), (A4, B3, C2, D2), (A1, B4, C2, D2), (A2, B4, C2, D2), (A3, B4, C2, D2), (A4, B4, C2, D2), (A1, B1, C1, D3), (A2, B1, C1, D3), (A3, B1, C1, D3), (A4, B1, C1, D3), (A1, B2, C1, D3), (A2, B2, C1, D3), (A3, B2, C1, D3), (A4, B2, C1, D3), (A1, B3, C1, D3), (A2, B3, C1, D3), (A3, B3, C1, D3), (A4, B3, C1, D3), (A1, B4, C1, D3), (A2, B4, C1, D3), (A3, B4, C1, D3), (A4, B4, C1, D3), (A1, B1, C2, D3), (A2, B1, C2, D3), (A3, B1, C2, D3), (A4, B1, C2, D3), (A1, B2, C2, D3), (A2, B2, C2, D3), (A3, B2, C2, D3), (A4, B2, C2, D3), (A1, B3, C2, D3), (A2, B3, C2, D3), (A3, B3, C2, D3), (A4, B3, C2, D3), (A1, B4, C2, D3), (A2, B4, C2, D3), (A3, B4, C2, D3), (A4, B4, C2, D3), (A1, B1, C1, D4), (A2, B1, C1, D4), (A3, B1, C1, D4), (A4, B1, C1, D4), (A1, B2, C1, D4), (A2, B2, C1, D4), (A3, B2, C1, D4), (A4, B2, C1, D4), (A1, B3, C1, D4), (A2, B3, C1, D4), (A3, B3, C1, D4), (A4, B3, C1, D4), (A1, B4, C1, D4), (A2, B4, C1, D4), (A3, B4, C1, D4), (A4, B4, C1, D4), (A1, B1, C2, D4), (A2, B1, C2, D4), (A3, B1, C2, D4), (A4, B1, C2, D4), (A1, B2, C2, D4), (A2, B2, C2, D4), (A3, B2, C2, D4), (A4, B2, C2, D4), (A1, B3, C2, D4), (A2, B3, C2, D4), (A3, B3, C2, D4), (A4, B3, C2, D4), (A1, B4, C2, D4), (A2, B4, C2, D4), (A3, B4, C2, D4), (A4, B4, C2, D4), (A1, B1, C1, D5), (A2, B1, C1, D5), (A3, B1, C1, D5), (A4, B1, C1, D5), (A1, B2, C1, D5), (A2, B2, C1, D5), (A3, B2, C1, D5), (A4, B2, C1, D5), (A1, B3, C1, D5), (A2, B3, C1, D5), (A3, B3, C1, D5), (A4, B3, C1, D5), (A1, B4, C1, D5), (A2, B4, C1, D5), (A3, B4, C1, D5), (A4, B4, C1, D5), (A1, B1, C2, D5), (A2, B1, C2, D5), (A3, B1, C2, D5), (A4, B1, C2, D5), (A1, B2, C2, D5), (A2, B2, C2, D5), (A3, B2, C2, D5), (A4, B2, C2, D5), (A1, B3, C2, D5), (A2, B3, C2, D5), (A3, B3, C2, D5), (A4, B3, C2, D5), (A1, B4, C2, D5), (A2, B4, C2, D5), (A3, B4, C2, D5), (A4, B4, C2, D5), (A1, B1, C1, D1), (A2, B1, C1, D1), (A3, B1, C1, D1), (A4, B1, C1, D1), (A1, B2, C1, D1), (A2, B2, C1, D1), (A3, B2, C1, D1), (A4, B2, C1, D1), (A1, B3, C1, D1), (A2, B3, C1, D1), (A3, B3, C1, D1), (A4, B3, C1, D1), (A1, B4, C1, D1), (A2, B4, C1, D1), (A3, B4, C1, D1), (A4, B4, C1, D1), (A1, B1, C2, D1), (A2, B1, C2, D1), (A3, B1, C2, D1), (A4, B1, C2, D1), (A1, B2, C2, D1), (A2, B2, C2, D1), (A3, B2, C2, D1), (A4, B2, C2, D1), (A1, B3, C2, D1), (A2, B3, C2, D1), (A3, B3, C2, D1), (A4, B3, C2, D1), (A1, B4, C2, D1), (A2, B4, C2, D1), (A3, B4, C2, D1), (A4, B4, C2, D1), (A1, B1, C1, D2), (A2, B1, C1, D2), (A3, B1, C1, D2), (A4, B1, C1, D2), (A1, B2, C1, D2), (A2, B2, C1, D2), (A3, B2, C1, D2), (A4, B2, C1, D2), (A1, B3, C1, D2), (A2, B3, C1, D2), (A3, B3, C1, D2), (A4, B3, C1, D2), (A1, B4, C1, D2), (A2, B4, C1, D2), (A3, B4, C1, D2), (A4, B4, C1, D2), (A1, B1, C2, D2), (A2, B1, C2, D2), (A3, B1, C2, D2), (A4, B1, C2, D2), (A1, B2, C2, D2), (A2, B2, C2, D2), (A3, B2, C2, D2), (A4, B2, C2, D2), (A1, B3, C2, D2), (A2, B3, C2, D2), (A3, B3, C2, D2), (A4, B3, C2, D2), (A1, B4, C2, D2), (A2, B4, C2, D2), (A3, B4, C2, D2), (A4, B4, C2, D2), (A1, B1, C1, D3), (A2, B1, C1, D3), (A3, B1, C1, D3), (A4, B1, C1, D3), (A1, B2, C1, D3), (A2, B2, C1, D3), (A3, B2, C1, D3), (A4, B2, C1, D3), (A1, B3, C1, D3), (A2, B3, C1, D3), (A3, B3, C1, D3), (A4, B3, C1, D3), (A1, B4, C1, D3), (A2, B4, C1, D3), (A3, B4, C1, D3), (A4, B4, C1, D3), (A1, B1, C2, D3), (A2, B1, C2, D3), (A3, B1, C2, D3), (A4, B1, C2, D3), (A1, B2, C2, D3), (A2, B2, C2, D3), (A3, B2, C2, D3), (A4, B2, C2, D3), (A1, B3, C2, D3), (A2, B3, C2, D3), (A3, B3, C2, D3), (A4, B3, C2, D3), (A1, B4, C2, D3), (A2, B4, C2, D3), (A3, B4, C2, D3), (A4, B4, C2, D3), (A1, B1, C1, D4), (A2, B1, C1, D4), (A3, B1, C1, D4), (A4, B1, C1, D4), (A1, B2, C1, D4), (A2, B2, C1, D4), (A3, B2, C1, D4), (A4, B2, C1, D4), (A1, B3, C1, D4), (A2, B3, C1, D4), (A3, B3, C1, 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B4, C1, D1), (A1, B1, C2, D1), (A2, B1, C2, D1), (A3, B1, C2, D1), (A4, B1, C2, D1), (A1, B2, C2, D1), (A2, B2, C2, D1), (A3, B2, C2, D1), (A4, B2, C2, D1), (A1, B3, C2, D1), (A2, B3, C2, D1), (A3, B3, C2, D1), (A4, B3, C2, D1), (A1, B4, C2, D1), (A2, B4, C2, D1), (A3, B4, C2, D1), (A4, B4, C2, D1), (A1, B1, C1, D2), (A2, B1, C1, D2), (A3, B1, C1, D2), (A4, B1, C1, D2), (A1, B2, C1, D2), (A2, B2, C1, D2), (A3, B2, C1, D2), (A4, B2, C1, D2), (A1, B3, C1, D2), (A2, B3, C1, D2), (A3, B3, C1, D2), (A4, B3, C1, D2), (A1, B4, C1, D2), (A2, B4, C1, D2), (A3, B4, C1, D2), (A4, B4, C1, D2), (A1, B1, C2, D2), (A2, B1, C2, D2), (A3, B1, C2, D2), (A4, B1, C2, D2), (A1, B2, C2, D2), (A2, B2, C2, D2), (A3, B2, C2, D2), (A4, B2, C2, D2), (A1, B3, C2, D2), (A2, B3, C2, D2), (A3, B3, C2, D2), (A4, B3, C2, D2), (A1, B4, C2, D2), (A2, B4, C2, D2), (A3, B4, C2, D2), (A4, B4, C2, D2), (A1, B1, C1, D3), (A2, B1, C1, D3), (A3, B1, C1, D3), (A4, B1, C1, D3), (A1, B2, C1, D3), (A2, B2, C1, D3), (A3, B2, C1, D3), (A4, B2, C1, D3), (A1, B3, C1, D3), (A2, B3, C1, D3), (A3, B3, C1, D3), (A4, B3, C1, D3), (A1, B4, C1, D3), (A2, B4, C1, D3), (A3, B4, C1, D3), (A4, B4, C1, D3), (A1, B1, C2, D3), (A2, B1, C2, D3), (A3, B1, C2, D3), (A4, B1, C2, D3), (A1, B2, C2, D3), (A2, B2, C2, D3), (A3, B2, C2, D3), (A4, B2, C2, D3), (A1, B3, C2, D3), (A2, B3, C2, D3), (A3, B3, C2, D3), (A4, B3, C2, D3), (A1, B4, C2, D3), (A2, B4, C2, D3), (A3, B4, C2, D3), (A4, B4, C2, D3), (A1, B1, C1, D4), (A2, B1, C1, D4), (A3, B1, C1, D4), (A4, B1, C1, D4), (A1, B2, C1, D4), (A2, B2, C1, D4), (A3, B2, C1, D4), (A4, B2, C1, D4), (A1, B3, C1, D4), (A2, B3, C1, D4), (A3, B3, C1, D4), (A4, B3, C1, D4), (A1, B4, C1, D4), (A2, B4, C1, D4), (A3, B4, C1, D4), (A4, B4, C1, D4), (A1, B1, C2, D4), (A2, B1, C2, D4), (A3, B1, C2, D4), (A4, B1, C2, D4), (A1, B2, C2, D4), (A2, B2, C2, D4), (A3, B2, C2, D4), (A4, B2, C2, D4), (A1, B3, C2, D4), (A2, B3, C2, D4), (A3, B3, C2, D4), (A4, B3, C2, D4), (A1, B4, C2, D4), (A2, B4, C2, D4), (A3, B4, C2, D4), (A4, B4, C2, D4), (A1, B1, C1, D5), (A2, B1, C1, D5), (A3, B1, C1, D5), (A4, B1, C1, D5), (A1, B2, C1, D5), (A2, B2, C1, D5), (A3, B2, C1, D5), (A4, B2, C1, D5), (A1, B3, C1, D5), (A2, B3, C1, D5), (A3, B3, C1, D5), (A4, B3, C1, D5), (A1, B4, C1, D5), (A2, B4, C1, D5), (A3, B4, C1, D5), (A4, B4, C1, D5), (A1, B1, C2, D5), (A2, B1, C2, D5), (A3, B1, C2, D5), (A4, B1, C2, D5), (A1, B2, C2, D5), (A2, B2, C2, D5), (A3, B2, C2, D5), (A4, B2, C2, D5), (A1, B3, C2, D5), (A2, B3, C2, D5), (A3, B3, C2, D5), (A4, B3, C2, D5), (A1, B4, C2, D5), (A2, B4, C2, D5), (A3, B4, C2, D5), and/or (A4, B4, C2, D5).

TABLE 3 Multiplexing of the Primer/Probe Combinations shown in Table 1 for detection of V. cholerae, V. cholerae serogroup O1, V. cholerae serogroup O139, V. cholerae encoding cholera toxin, and E. coli (A1, B1, C1, D1, E1), (A2, B1, C1, D1, E1), (A3, B1, C1, D1, E1), (A4, B1, C1, D1, E1), (A1, B2, C1, D1, E1), (A2, B2, C1, D1, E1), (A3, B2, C1, D1, E1), (A4, B2, C1, D1, E1), (A1, B3, C1, D1, E1), (A2, B3, C1, D1, E1), (A3, B3, C1, D1, E1), (A4, B3, C1, D1, E1), (A1, B4, C1, D1, E1), (A2, B4, C1, D1, E1), (A3, B4, C1, D1, E1), (A4, B4, C1, D1, E1), (A1, B1, C2, D1, E1), (A2, B1, C2, D1, E1), (A3, B1, C2, D1, E1), (A4, B1, C2, D1, E1), (A1, B2, C2, D1, E1), (A2, B2, C2, D1, E1), (A3, B2, C2, D1, E1), (A4, B2, C2, D1, E1), (A1, B3, C2, D1, E1), (A2, B3, C2, D1, E1), (A3, B3, C2, D1, E1), (A4, B3, C2, D1, E1), (A1, B4, C2, D1, E1), (A2, B4, C2, D1, E1), (A3, B4, C2, D1, E1), (A4, B4, C2, D1, E1), (A1, B1, C1, D2, E1), (A2, B1, C1, D2, E1), (A3, B1, C1, D2, E1), (A4, B1, C1, D2, E1), (A1, B2, C1, D2, E1), (A2, B2, C1, D2, E1), (A3, B2, C1, D2, E1), (A4, B2, C1, D2, E1), (A1, B3, C1, D2, E1), (A2, B3, C1, D2, E1), (A3, B3, C1, D2, E1), (A4, B3, C1, D2, E1), (A1, B4, C1, D2, E1), (A2, B4, C1, D2, E1), (A3, B4, C1, D2, E1), (A4, B4, C1, D2, E1), (A1, B1, C2, D2, E1), (A2, B1, C2, D2, E1), (A3, B1, C2, D2, E1), (A4, B1, C2, D2, E1), (A1, B2, C2, D2, E1), (A2, B2, C2, D2, E1), (A3, B2, C2, D2, E1), (A4, B2, C2, D2, E1), (A1, B3, C2, D2, E1), (A2, B3, C2, D2, E1), (A3, B3, C2, D2, E1), (A4, B3, C2, D2, E1), (A1, B4, C2, D2, E1), (A2, B4, C2, D2, E1), (A3, B4, C2, D2, E1), (A4, B4, C2, D2, E1), (A1, B1, C1, D3, E1), (A2, B1, C1, D3, E1), (A3, B1, C1, D3, E1), (A4, B1, C1, D3, E1), (A1, B2, C1, D3, E1), (A2, B2, C1, D3, E1), (A3, B2, C1, D3, E1), (A4, B2, C1, D3, E1), (A1, B3, C1, D3, E1), (A2, B3, C1, D3, E1), (A3, B3, C1, D3, E1), (A4, B3, C1, D3, E1), (A1, B4, C1, D3, E1), (A2, B4, C1, D3, E1), (A3, B4, C1, D3, E1), (A4, B4, C1, D3, E1), (A1, B1, C2, D3, E1), (A2, B1, C2, D3, E1), (A3, B1, C2, D3, E1), (A4, B1, C2, D3, E1), (A1, B2, C2, D3, E1), (A2, B2, C2, D3, E1), (A3, B2, C2, D3, E1), (A4, B2, C2, D3, E1), (A1, B3, C2, D3, E1), (A2, B3, C2, D3, E1), (A3, B3, C2, D3, E1), (A4, B3, C2, D3, E1), (A1, B4, C2, D3, E1), (A2, B4, C2, D3, E1), (A3, B4, C2, D3, E1), (A4, B4, C2, D3, E1), (A1, B1, C1, D4, E1), (A2, B1, C1, D4, E1), (A3, B1, C1, D4, E1), (A4, B1, C1, D4, E1), (A1, B2, C1, D4, E1), (A2, B2, C1, D4, E1), (A3, B2, C1, D4, E1), (A4, B2, C1, D4, E1), (A1, B3, C1, D4, E1), (A2, B3, C1, D4, E1), (A3, B3, C1, D4, E1), (A4, B3, C1, D4, E1), (A1, B4, C1, D4, E1), (A2, B4, C1, D4, E1), (A3, B4, C1, D4, E1), (A4, B4, C1, D4, E1), (A1, B1, C2, D4, E1), (A2, B1, C2, D4, E1), (A3, B1, C2, D4, E1), (A4, B1, C2, D4, E1), (A1, B2, C2, D4, E1), (A2, B2, C2, D4, E1), (A3, B2, C2, D4, E1), (A4, B2, C2, D4, E1), (A1, B3, C2, D4, E1), (A2, B3, C2, D4, E1), (A3, B3, C2, D4, E1), (A4, B3, C2, D4, E1), (A1, B4, C2, D4, E1), (A2, B4, C2, D4, E1), (A3, B4, C2, D4, E1), (A4, B4, C2, D4, E1), (A1, B1, C1, D5, E1), (A2, B1, C1, D5, E1), (A3, B1, C1, D5, E1), (A4, B1, C1, D5, E1), (A1, B2, C1, D5, E1), (A2, B2, C1, D5, E1), (A3, B2, C1, D5, E1), (A4, B2, C1, D5, E1), (A1, B3, C1, D5, E1), (A2, B3, C1, D5, E1), (A3, B3, C1, D5, E1), (A4, B3, C1, D5, E1), (A1, B4, C1, D5, E1), (A2, B4, C1, D5, E1), (A3, B4, C1, D5, E1), (A4, B4, C1, D5, E1), (A1, B1, C2, D5, E1), (A2, B1, C2, D5, E1), (A3, B1, C2, D5, E1), (A4, B1, C2, D5, E1), (A1, B2, C2, D5, E1), (A2, B2, C2, D5, E1), (A3, B2, C2, D5, E1), (A4, B2, C2, D5, E1), (A1, B3, C2, D5, E1), (A2, B3, C2, D5, E1), (A3, B3, C2, D5, E1), (A4, B3, C2, D5, E1), (A1, B4, C2, D5, E1), (A2, B4, C2, D5, E1), (A3, B4, C2, D5, E1), (A4, B4, C2, D5, E1), (A1, B1, C1, D1, E2), (A2, B1, C1, D1, E2), (A3, B1, C1, D1, E2), (A4, B1, C1, D1, E2), (A1, B2, C1, D1, E2), (A2, B2, C1, D1, E2), (A3, B2, C1, D1, E2), (A4, B2, C1, D1, E2), (A1, B3, C1, D1, E2), (A2, B3, C1, D1, E2), (A3, B3, C1, D1, E2), (A4, B3, C1, D1, E2), (A1, B4, C1, D1, E2), (A2, B4, C1, D1, E2), (A3, B4, C1, D1, E2), (A4, B4, C1, D1, E2), (A1, B1, C2, D1, E2), (A2, B1, C2, D1, E2), (A3, B1, C2, D1, E2), (A4, B1, C2, D1, E2), (A1, B2, C2, D1, E2), (A2, B2, C2, D1, E2), (A3, B2, C2, D1, E2), (A4, B2, C2, D1, E2), (A1, B3, C2, D1, E2), (A2, B3, C2, D1, E2), (A3, B3, C2, D1, E2), (A4, B3, C2, D1, E2), (A1, B4, C2, D1, E2), (A2, B4, C2, D1, E2), (A3, B4, C2, D1, E2), (A4, B4, C2, D1, E2), (A1, B1, C1, D2, E2), (A2, B1, C1, D2, E2), (A3, B1, C1, D2, E2), (A4, B1, C1, D2, E2), (A1, B2, C1, D2, E2), (A2, B2, C1, D2, E2), (A3, B2, C1, D2, E2), (A4, B2, C1, D2, E2), (A1, B3, C1, D2, E2), (A2, B3, C1, D2, E2), (A3, B3, C1, D2, E2), (A4, B3, C1, D2, E2), (A1, B4, C1, D2, E2), (A2, B4, C1, D2, E2), (A3, B4, C1, D2, E2), (A4, B4, C1, D2, E2), (A1, B1, C2, D2, E2), (A2, B1, C2, D2, E2), (A3, B1, C2, D2, E2), (A4, B1, C2, D2, E2), (A1, B2, C2, D2, E2), (A2, B2, C2, D2, E2), (A3, B2, C2, D2, E2), (A4, B2, C2, D2, E2), (A1, B3, C2, D2, E2), (A2, B3, C2, D2, E2), (A3, B3, C2, D2, E2), (A4, B3, C2, D2, E2), (A1, B4, C2, D2, E2), (A2, B4, C2, D2, E2), (A3, B4, C2, D2, E2), (A4, B4, C2, D2, E2), (A1, B1, C1, D3, E2), (A2, B1, C1, D3, E2), (A3, B1, C1, D3, E2), (A4, B1, C1, D3, E2), (A1, B2, C1, D3, E2), (A2, B2, C1, D3, E2), (A3, B2, C1, D3, E2), (A4, B2, C1, D3, E2), (A1, B3, C1, D3, E2), (A2, B3, C1, D3, E2), (A3, B3, C1, D3, E2), (A4, B3, C1, D3, E2), (A1, B4, C1, D3, E2), (A2, B4, C1, D3, E2), (A3, B4, C1, D3, E2), (A4, B4, C1, D3, E2), (A1, B1, C2, D3, E2), (A2, B1, C2, D3, E2), (A3, B1, C2, D3, E2), (A4, B1, C2, D3, E2), (A1, B2, C2, D3, E2), (A2, B2, C2, D3, E2), (A3, B2, C2, D3, E2), (A4, B2, C2, D3, E2), (A1, B3, C2, D3, E2), (A2, B3, C2, D3, E2), (A3, B3, C2, D3, E2), (A4, B3, C2, D3, E2), (A1, B4, C2, D3, E2), (A2, B4, C2, D3, E2), (A3, B4, C2, D3, E2), (A4, B4, C2, D3, E2), (A1, B1, C1, D4, E2), (A2, B1, C1, D4, E2), (A3, B1, C1, D4, E2), (A4, B1, C1, D4, E2), (A1, B2, C1, D4, E2), (A2, B2, C1, D4, E2), (A3, B2, C1, D4, E2), (A4, B2, C1, D4, E2), (A1, B3, C1, D4, E2), (A2, B3, C1, D4, E2), (A3, B3, C1, D4, E2), (A4, B3, C1, D4, E2), (A1, B4, C1, D4, E2), (A2, B4, C1, D4, E2), (A3, B4, C1, D4, E2), (A4, B4, C1, D4, E2), (A1, B1, C2, D4, E2), (A2, B1, C2, D4, E2), (A3, B1, C2, D4, E2), (A4, B1, C2, D4, E2), (A1, B2, C2, D4, E2), (A2, B2, C2, D4, E2), (A3, B2, C2, D4, E2), (A4, B2, C2, D4, E2), (A1, B3, C2, D4, E2), (A2, B3, C2, D4, E2), (A3, B3, C2, D4, E2), (A4, B3, C2, D4, E2), (A1, B4, C2, D4, E2), (A2, B4, C2, D4, E2), (A3, B4, C2, D4, E2), (A4, B4, C2, D4, E2), (A1, B1, C1, D5, E2), (A2, B1, C1, D5, E2), (A3, B1, C1, D5, E2), (A4, B1, C1, D5, E2), (A1, B2, C1, D5, E2), (A2, B2, C1, D5, E2), (A3, B2, C1, D5, E2), (A4, B2, C1, D5, E2), (A1, B3, C1, D5, E2), (A2, B3, C1, D5, E2), (A3, B3, C1, D5, E2), (A4, B3, C1, D5, E2), (A1, B4, C1, D5, E2), (A2, B4, C1, D5, E2), (A3, B4, C1, D5, E2), (A4, B4, C1, D5, E2), (A1, B1, C2, D5, E2), (A2, B1, C2, D5, E2), (A3, B1, C2, D5, E2), (A4, B1, C2, D5, E2), (A1, B2, C2, D5, E2), (A2, B2, C2, D5, E2), (A3, B2, C2, D5, E2), (A4, B2, C2, D5, E2), (A1, B3, C2, D5, E2), (A2, B3, C2, D5, E2), (A3, B3, C2, D5, E2), (A4, B3, C2, D5, E2), (A1, B4, C2, D5, E2), (A2, B4, C2, D5, E2), (A3, B4, C2, D5, E2), (A4, B4, C2, D5, E2), (A1, B1, C1, D1, E3), (A2, B1, C1, D1, E3), (A3, B1, C1, D1, E3), (A4, B1, C1, D1, E3), (A1, B2, C1, D1, E3), (A2, B2, C1, D1, E3), (A3, B2, C1, D1, E3), (A4, B2, C1, D1, E3), (A1, B3, C1, D1, E3), (A2, B3, C1, D1, E3), (A3, B3, C1, D1, E3), (A4, B3, C1, D1, E3), (A1, B4, C1, D1, E3), (A2, B4, C1, D1, E3), (A3, B4, C1, D1, E3), (A4, B4, C1, D1, E3), (A1, B1, C2, D1, E3), (A2, B1, C2, D1, E3), (A3, B1, C2, D1, E3), (A4, B1, C2, D1, E3), (A1, B2, C2, D1, E3), (A2, B2, C2, D1, E3), (A3, B2, C2, D1, E3), (A4, B2, C2, D1, E3), (A1, B3, C2, D1, E3), (A2, B3, C2, D1, E3), (A3, B3, C2, D1, E3), (A4, B3, C2, D1, E3), (A1, B4, C2, D1, E3), (A2, B4, C2, D1, E3), (A3, B4, C2, D1, E3), (A4, B4, C2, D1, E3), (A1, B1, C1, D2, E3), (A2, B1, C1, D2, E3), 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D4, E5), (A4, B3, C2, D4, E5), (A1, B4, C2, D4, E5), (A2, B4, C2, D4, E5), (A3, B4, C2, D4, E5), (A4, B4, C2, D4, E5), (A1, B1, C1, D5, E5), (A2, B1, C1, D5, E5), (A3, B1, C1, D5, E5), (A4, B1, C1, D5, E5), (A1, B2, C1, D5, E5), (A2, B2, C1, D5, E5), (A3, B2, C1, D5, E5), (A4, B2, C1, D5, E5), (A1, B3, C1, D5, E5), (A2, B3, C1, D5, E5), (A3, B3, C1, D5, E5), (A4, B3, C1, D5, E5), (A1, B4, C1, D5, E5), (A2, B4, C1, D5, E5), (A3, B4, C1, D5, E5), (A4, B4, C1, D5, E5), (A1, B1, C2, D5, E5), (A2, B1, C2, D5, E5), (A3, B1, C2, D5, E5), (A4, B1, C2, D5, E5), (A1, B2, C2, D5, E5), (A2, B2, C2, D5, E5), (A3, B2, C2, D5, E5), (A4, B2, C2, D5, E5), (A1, B3, C2, D5, E5), (A2, B3, C2, D5, E5), (A3, B3, C2, D5, E5), (A4, B3, C2, D5, E5), (A1, B4, C2, D5, E5), (A2, B4, C2, D5, E5), (A3, B4, C2, D5, E5), and/or (A4, B4, C2, D5, E5).

The nucleic acids provided herein can be in various forms. For example, in some embodiments, the nucleic acids are dissolved (either alone or in combination with various other nucleic acids) in solution, for example buffer. In some embodiments, nucleic acids are provided, either alone or in combination with other isolated nucleic acids, as a salt. In some embodiments, nucleic acids are provided in a lyophilized form that can be reconstituted. For example, in some embodiments, the isolated nucleic acids disclosed herein can be provided in a lyophilized pellet alone, or in a lyophilized pellet with other isolated nucleic acids. In some embodiments, nucleic acids are provided affixed to a solid substance, such as a bead, a membrane, or the like. In some embodiments, nucleic acids are provided in a host cell, for example a cell line carrying a plasmid, or a cell line carrying a stably integrated sequence.

In some embodiments, the composition, reaction mixture, and kit comprise one or more pairs of amplification primers capable of specifically hybridizing to the sequence of the ompW gene, or a complement thereof, of V. cholerae. In some embodiments, the composition, reaction mixture, and kit comprise one or more probes capable of specifically hybridizing to the sequence of the ompW gene, or complement thereof, of V. cholerae. Disclosed herein include probes or primers up to about 100 nucleotides in length which is capable of hybridizing to the ompW gene of V. cholerae. In some embodiments, the probe or primer comprises: a sequence selected from the group consisting of SEQ ID NOs: 1-11, or sequence that exhibits at least about 85% identity, at least about 90% identity, or at least about 95% identity, to a sequence selected from the group consisting of SEQ ID NOs: 1-11. In some embodiments, said probe or primer consists of a sequence selected from the group consisting of SEQ ID NOs: 1-11, or sequence that exhibits at least about 85% identity, at least about 90% identity, or at least about 95% identity, to a sequence selected from the group consisting of SEQ ID NOs: 1-11. In some embodiments, said probe or primer comprises a sequence selected from the group consisting of SEQ ID NOs: 1-11. In some embodiments, said probe or primer consists of a sequence selected from the group consisting of SEQ ID NOs: 1-11.

In some embodiments, the composition, reaction mixture, and kit comprise one or more pairs of amplification primers capable of specifically hybridizing to the sequence of the rfbN gene, or a complement thereof, of V. cholerae serogroup O1. In some embodiments, the composition, reaction mixture, and kit comprise one or more probes capable of specifically hybridizing to the sequence of the rfbN gene, or complement thereof, of V. cholerae serogroup O1. Disclosed herein include probes or primers up to about 100 nucleotides in length which is capable of hybridizing to the rfbN gene of V. cholerae serogroup O1. In some embodiments, the probe or primer comprises: a sequence selected from the group consisting of SEQ ID NOs: 12-23, or sequence that exhibits at least about 85% identity, at least about 90% identity, or at least about 95% identity, to a sequence selected from the group consisting of SEQ ID NOs: 12-23. In some embodiments, said probe or primer consists of a sequence selected from the group consisting of SEQ ID NOs: 12-23, or sequence that exhibits at least about 85% identity, at least about 90% identity, or at least about 95% identity, to a sequence selected from the group consisting of SEQ ID NOs: 12-23. In some embodiments, said probe or primer comprises a sequence selected from the group consisting of SEQ ID NOs: 12-23. In some embodiments, said probe or primer consists of a sequence selected from the group consisting of SEQ ID NOs: 12-23.

In some embodiments, the composition, reaction mixture, and kit comprise one or more pairs of amplification primers capable of specifically hybridizing to the sequence of the wbfR gene, or a complement thereof, of V. cholerae serogroup O139. In some embodiments, the composition, reaction mixture, and kit comprise one or more probes capable of specifically hybridizing to the sequence of the wbfR gene, or complement thereof, of V. cholerae serogroup O139. Disclosed herein include probes or primers up to about 100 nucleotides in length which is capable of hybridizing to the wbfR gene of V. cholerae serogroup O139. In some embodiments, the probe or primer comprises: a sequence selected from the group consisting of SEQ ID NOs: 24-38, or sequence that exhibits at least about 85% identity, at least about 90% identity, or at least about 95% identity, to a sequence selected from the group consisting of SEQ ID NOs: 24-38. In some embodiments, said probe or primer consists of a sequence selected from the group consisting of SEQ ID NOs: 24-38, or sequence that exhibits at least about 85% identity, at least about 90% identity, or at least about 95% identity, to a sequence selected from the group consisting of SEQ ID NOs: 24-38. In some embodiments, said probe or primer comprises a sequence selected from the group consisting of SEQ ID NOs: 24-38. In some embodiments, said probe or primer consists of a sequence selected from the group consisting of SEQ ID NOs: 24-38.

In some embodiments, the composition, reaction mixture, and kit comprise one or more pairs of amplification primers capable of specifically hybridizing to the sequence of the ctxA (cholera toxin) gene, or a complement thereof, of V. cholerae. In some embodiments, the composition, reaction mixture, and kit comprise one or more probes capable of specifically hybridizing to the sequence of the ctxA (cholera toxin) gene, or complement thereof, of V. cholerae. Disclosed herein include probes or primers up to about 100 nucleotides in length which is capable of hybridizing to the ctxA (cholera toxin) gene of V. cholerae. In some embodiments, the probe or primer comprises: a sequence selected from the group consisting of SEQ ID NOs: 39-52, or sequence that exhibits at least about 85% identity, at least about 90% identity, or at least about 95% identity, to a sequence selected from the group consisting of SEQ ID NOs: 39-52. In some embodiments, said probe or primer consists of a sequence selected from the group consisting of SEQ ID NOs: 39-52, or sequence that exhibits at least about 85% identity, at least about 90% identity, or at least about 95% identity, to a sequence selected from the group consisting of SEQ ID NOs: 39-52. In some embodiments, said probe or primer comprises a sequence selected from the group consisting of SEQ ID NOs: 39-52. In some embodiments, said probe or primer consists of a sequence selected from the group consisting of SEQ ID NOs: 39-52.

In some embodiments, the composition, reaction mixture, and kit comprise one or more pairs of amplification primers capable of specifically hybridizing to the sequence of the yaiO gene, or a complement thereof, of E. coli. In some embodiments, the composition, reaction mixture, and kit comprise one or more probes capable of specifically hybridizing to the sequence of the yaiO gene, or complement thereof, of E. coli. Disclosed herein include probes or primers up to about 100 nucleotides in length which is capable of hybridizing to the yaiO gene of E. coli. In some embodiments, the probe or primer comprises: comprises a sequence selected from the group consisting of SEQ ID NOs: 53-67, or sequence that exhibits at least about 85% identity, at least about 90% identity, or at least about 95% identity, to a sequence selected from the group consisting of SEQ ID NOs: 53-67. In some embodiments, said probe or primer consists of a sequence selected from the group consisting of SEQ ID NOs: 53-67, or sequence that exhibits at least about 85% identity, at least about 90% identity, or at least about 95% identity, to a sequence selected from the group consisting of SEQ ID NOs: 53-67. In some embodiments, said probe or primer comprises a sequence selected from the group consisting of SEQ ID NOs: 53-67. In some embodiments, said probe or primer consists of a sequence selected from the group consisting of SEQ ID NOs: 53-67.

There are provided, in some embodiments, compositions comprising one or more, or two or more, of the oligonucleotide probes and/or primers disclosed herein.

Oligonucleotide probes can, in some embodiments, include a detectable moiety. For example, the oligonucleotide probes disclosed herein can comprise a radioactive label. Non-limiting examples of radioactive labels include ³H, ¹⁴C, ³²P, and ³⁵S. In some embodiments, oligonucleotide probes can include one or more non-radioactive detectable markers or moieties, including but not limited to ligands, fluorophores, chemiluminescent agents, enzymes, and antibodies. Other detectable markers for use with probes, which can enable an increase in sensitivity of the method of the invention, include biotin and radio-nucleotides. It will become evident to the person of ordinary skill that the choice of a particular label dictates the manner in which it is bound to the probe. For example, oligonucleotide probes labeled with one or more dyes, such that upon hybridization to a template nucleic acid, a detectable change in fluorescence is generated. While non-specific dyes may be desirable for some applications, sequence-specific probes can provide more accurate measurements of amplification. One configuration of sequence-specific probe can include one end of the probe tethered to a fluorophore, and the other end of the probe tethered to a quencher. When the probe is unhybridized, it can maintain a stem-loop configuration, in which the fluorophore is quenched by the quencher, thus preventing the fluorophore from fluorescing. When the probe is hybridized to a template nucleic sequence, it is linearized, distancing the fluorophore from the quencher, and thus permitting the fluorophore to fluoresce. Another configuration of sequence-specific probe can include a first probe tethered to a first fluorophore of a FRET pair, and a second probe tethered to a second fluorophore of a FRET pair. The first probe and second probe can be configured to hybridize to sequences of an amplicon that are within sufficient proximity to permit energy transfer by FRET when the first probe and second probe are hybridized to the same amplicon.

In some embodiments the probe is a TaqMan probe. TaqMan probes can comprise a fluorophore and a quencher. The quencher molecule can quench the fluorescence emitted by the fluorophore when excited by the cycler's light source via Forster resonance energy transfer (FRET). As long as the fluorophore and the quencher are in proximity, quenching can inhibit any detectable (e.g., fluorescence) signals. TaqMan probes provided herein can designed such that they anneal within a DNA region amplified by primers provided herein. Without being bound by any particular theory, in some embodiments, as a PCR polymerase (e.g., Taq) extends the primer and synthesizes a nascent strand on a single-strand template, the 5′ to 3′ exonuclease activity of the PCR polymerase degrades the probe that has annealed to the template. Degradation of the probe can release the fluorophore from it and break the proximity to the quencher, thereby relieving the quenching effect and allowing fluorescence of the fluorophore. Hence, fluorescence detected in the quantitative PCR thermal cycler can, in some embodiments, be directly proportional to the fluorophore released and the amount of DNA template present in the PCR.

In some embodiments, the sequence specific probe comprises an oligonucleotide as disclosed herein conjugated to a fluorophore. In some embodiments, the probe is conjugated to two or more fluorophores. Examples of fluorophores include: xanthene dyes, e.g., fluorescein and rhodamine dyes, such as fluorescein isothiocyanate (FITC), 2-[ethylamino)-3-(ethylimino)-2-7-dimethyl-3H-xanthen-9-yl]benzoic acid ethyl ester monohydrochloride (R6G)(emits a response radiation in the wavelength that ranges from about 500 to 560 nm), 1,1,3,3,3′,3′-Hexamethylindodicarbocyanine iodide (HIDC) (emits a response radiation in the wavelength that ranged from about 600 to 660 nm), 6-carboxyfluorescein (commonly known by the abbreviations FAM and F), 6-carboxy-2′,4′,7′,4,7-hexachlorofluorescein (HEX), 6-carboxy-4′,5′-dichloro-2′,7′-dimethoxyfluorescein (JOE or J), N,N,N′,N′-tetramethyl-6-carboxyrhodamine (TAMRA or T), 6-carboxy-X-rhodamine (ROX or R), 5-carboxyrhodamine-6G (R6G5 or G5), 6-carboxyrhodamine-6G (R6G6 or G6), and rhodamine 110; cyanine dyes, e.g. Cy3, Cy5 and Cy7 dyes; coumarins, e.g., umbelliferone; benzimide dyes, e.g. Hoechst 33258; phenanthridine dyes, e.g. Texas Red; ethidium dyes; acridine dyes; carbazole dyes; phenoxazine dyes; porphyrin dyes; polymethine dyes, e.g. cyanine dyes such as Cy3 (emits a response radiation in the wavelength that ranges from about 540 to 580 nm), Cy5 (emits a response radiation in the wavelength that ranges from about 640 to 680 nm), etc.; BODIPY dyes and quinoline dyes. Specific fluorophores of interest include: Pyrene, Coumarin, Diethylaminocoumarin, FAM, Fluorescein Chlorotriazinyl, Fluorescein, R110, Eosin, JOE, R6G, HIDC, Tetramethylrhodamine, TAMRA, Lissamine, ROX, Napthofluorescein, Texas Red, Napthofluorescein, Cy3, and Cy5, CAL fluor orange, and the like. Other examples of fluorescein dyes include 6-carboxyfluorescein (6-FAM), 2′,4′,1,4,-tetrachlorofluorescein (TET), 2′,4′,5′,7′,1,4-hexachlorofluorescein (HEX), 2′,7′-dimethoxy-4′,5′-dichloro-6-carboxyrhodamine (JOE), 2′-chloro-5′-fluoro-7′,8′-fused phenyl-1,4-dichloro-6-carboxyfluorescein (NED), and 2′-chloro-7′-phenyl-1,4-dichloro-6-carboxyfluorescein (VIC). Probes can comprise SpC6, or functional equivalents and derivatives thereof. Probes can comprise a spacer moiety. A spacer moiety can comprise an alkyl group of at least 2 carbons to about 12 carbons. A probe can comprise a spacer comprising an abasic unit. A probe can comprise a spacer selected from the group comprising of idSp, iSp9, iS18, iSpC3, iSpC6, iSpC12, or any combination thereof.

In some embodiments, the probe is conjugated to a quencher. A quencher can absorb electromagnetic radiation and dissipate it as heat, thus remaining dark. Example quenchers include Dabcyl, NFQ's, such as BHQ-1 or BHQ-2 (Biosearch), IOWA BLACK FQ (IDT), and IOWA BLACK RQ (IDT). In some embodiments, the quencher is selected to pair with a fluorophore so as to absorb electromagnetic radiation emitted by the fluorophore. Fluorophore/quencher pairs useful in the compositions and methods disclosed herein are well-known in the art, and can be found, e.g., described in Marras, “Selection of Fluorophore and Quencher Pairs for Fluorescent Nucleic Acid Hybridization Probes” available at www.molecular-beacons.org/download/marras,mmb06%28335%293.pdf. Examples of quencher moieties include, but are not limited to: a dark quencher, a Black Hole Quencher® (BHQ®) (e.g., BHQ-0, BHQ-1, BHQ-2, BHQ-3), a Qxl quencher, an ATTO quencher (e.g., ATTO 540Q, ATTO 580Q, and ATTO 612Q), dimethylaminoazobenzenesulfonic acid (Dabsyl), Iowa Black RQ, Iowa Black FQ, IRDye QC-1, a QSY dye (e.g., QSY 7, QSY 9, QSY 21), AbsoluteQuencher, Eclipse, and metal clusters such as gold nanoparticles, and the like. Examples of an ATTO quencher include, but are not limited to: ATTO 540Q, ATTO 580Q, and ATTO 612Q. Examples of a Black Hole Quencher® (BHQ®) include, but are not limited to: BHQ-0 (493 nm), BHQ-1 (534 nm), BHQ-2 (579 nm) and BHQ-3 (672 nm).

In some embodiments, a detectable label is a fluorescent label selected from: an Alexa Fluor® dye (e.g., Alexa Fluor® 350, Alexa Fluor® 405, Alexa Fluor® 430, Alexa Fluor® 488, Alexa Fluor® 500, Alexa Fluor® 514, Alexa Fluor® 532, Alexa Fluor® 546, Alexa Fluor® 555, Alexa Fluor® 568, Alexa Fluor® 594, Alexa Fluor® 610, Alexa Fluor® 633, Alexa Fluor® 635, Alexa Fluor® 647, Alexa Fluor® 660, Alexa Fluor® 680, Alexa Fluor® 700, Alexa Fluor® 750, Alexa Fluor® 790), an ATTO dye (e.g., ATTO 390, ATTO 425, ATTO 465, ATTO 488, ATTO 495, ATTO 514, ATTO 520, ATTO 532, ATTO Rho6G, ATTO 542, ATTO 550, ATTO 565, ATTO Rho3B, ATTO Rhol 1, ATTO Rhol2, ATTO Thiol 2, ATTO 590, ATTO 594, ATTO Rhol3, ATTO 610, ATTO 620, ATTO Rhol4, ATTO 633, ATTO 647, ATTO 647N, ATTO 655, ATTO Oxal2, ATTO 665, ATTO 680, ATTO 700, ATTO 725, ATTO 740), a DyFight dye, a cyanine dye (e.g., Cy2, Cy3, Cy3.5, Cy3b, Cy5, Cy5.5, Cy7, Cy7.5), a FluoProbes dye, a Sulfo Cy dye, a Seta dye, an IRIS Dye, a SeTau dye, an SRfluor dye, a Square dye, fluorescein (FITC), tetramethylrhodamine (TRITC), Texas Red, Oregon Green, Pacific Blue, Pacific Green, Pacific Orange, a quantum dot, and a tethered fluorescent protein.

In some embodiments, a fluorophore is attached to a first end of the probe, and a quencher is attached to a second end of the probe. In some embodiments, a probe can comprise two or more fluorophores. In some embodiments, a probe can comprise two or more quencher moieties. In some embodiments, a probe can comprise one or more quencher moieties and/or one or more fluorophores. A quencher moiety or a fluorophore can be attached to any portion of a probe (e.g., on the 5′ end, on the 3′ end, and/or in the middle of the probe). Any probe nucleotide can comprise a fluorophore or a quencher moiety, such as, for example, BHQ1dT. Attachment can include covalent bonding, and can optionally include at least one linker molecule positioned between the probe and the fluorophore or quencher. In some embodiments, a fluorophore is attached to a 5′ end of a probe, and a quencher is attached to a 3′ end of a probe. In some embodiments, a fluorophore is attached to a 3′ end of a probe, and a quencher is attached to a 5′ end of a probe. Examples of probes that can be used in quantitative nucleic acid amplification include molecular beacons, SCORPION™ probes (Sigma), TAQMAN™ probes (Life Technologies) and the like. Other nucleic acid detection technologies that are useful in the embodiments disclosed herein include, but are not limited to nanoparticle probe technology (See, Elghanian, et al. (1997) Science 277:1078-1081.) and Amplifluor probe technology (See, U.S. Pat. Nos. 5,866,366; 6,090,592; 6,117,635; and 6,117,986).

There are provided, in some embodiments, compositions for detecting V. cholerae. In some embodiments, the composition comprises: at least one pair of primers capable of hybridizing to the ompW gene of V. cholerae, wherein each primer in said at least one pair of primers comprises any one of the sequences of SEQ ID NOs: 1-8, or a sequence that exhibits at least about 85% identity (e.g., 85%, 86%, 87%, 88%, 89%, 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, 100%, or a number or a range between any two of these values) to any one of the sequences of SEQ ID NOs: 1-8; at least one pair of primers capable of hybridizing to the rfbN gene of V. cholerae serogroup O1, wherein each primer in said at least one pair of primers comprises any one of the sequences of SEQ ID NOs: 12-19, or a sequence that exhibits at least about 85% identity (e.g., 85%, 86%, 87%, 88%, 89%, 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, 100%, or a number or a range between any two of these values) to any one of the sequences of SEQ ID NOs: 12-19; at least one pair of primers capable of hybridizing to the wbfR gene of V. cholerae serogroup O139, wherein each primer in said at least one pair of primers comprises any one of the sequences of SEQ ID NOs: 24-33, or a sequence that exhibits at least about 85% identity (e.g., 85%, 86%, 87%, 88%, 89%, 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, 100%, or a number or a range between any two of these values) to any one of the sequences of SEQ ID NOs: 24-33; and at least one pair of primers capable of hybridizing to the ctxA (cholera toxin) gene of V. cholerae, wherein each primer in said at least one pair of primers comprises any one of the sequences of SEQ ID NOs: 39-48, or a sequence that exhibits at least about 85% identity (e.g., 85%, 86%, 87%, 88%, 89%, 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, 100%, or a number or a range between any two of these values) to any one of the sequences of SEQ ID NOs: 39-48. The composition can comprise: at least one pair of control primers capable of hybridizing to the yaiO gene of E. coli, wherein each primer in said at least one pair of control primers comprises any one of the sequences of SEQ ID NOs: 53-62, or a sequence that exhibits at least about 85% identity (e.g., 85%, 86%, 87%, 88%, 89%, 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, 100%, or a number or a range between any two of these values) to any one of the sequences of SEQ ID NOs: 53-62.

In some embodiments, the at least one pair of primers capable of hybridizing to the ompW gene of V. cholerae comprises a primer comprising the sequence of SEQ ID NOs: 1, 3, 5, or 7 and a primer comprising the sequence of SEQ ID NOs: 2, 4, 6, or 8; the at least one pair of primers capable of hybridizing to the rfbN gene of V. cholerae serogroup O1 comprises a primer comprising the sequence of SEQ ID NOs: 12, 14, 16, or 18 and a primer comprising the sequence of SEQ ID NOs: 13, 15, 17, or 19; the at least one pair of primers capable of hybridizing to the wbfR gene of V. cholerae serogroup O139 comprises a primer comprising the sequence of SEQ ID NOs: 24, 26, 28, 30, or 32 and a primer comprising the sequence of SEQ ID NOs: 25, 27, 29, 31, or 33; and the at least one pair of primers capable of hybridizing to the ctxA gene of V. cholerae comprises a primer comprising the sequence of SEQ ID NOs: 39, 41, 43, 45, or 47 and a primer comprising the sequence of SEQ ID NOs: 40, 42, 44, 46, or 48. In some embodiments, the at least one pair of control primers capable of hybridizing to the yaiO gene of E. coli comprises a primer comprising the sequence of SEQ ID NOs: 53, 55, 57, 59, or 61 and a primer comprising the sequence of SEQ ID NOs: 54, 56, 58, 60, or 62.

The composition can comprise: a plurality of oligonucleotide probes, wherein each of the plurality of oligonucleotide probes comprises a sequence selected from the group consisting of SEQ ID NOs: 9-11, 20-23, 34-38, 49-52, and 63-67, or a sequence that exhibits at least about 85% identity (e.g., 85%, 86%, 87%, 88%, 89%, 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, 100%, or a number or a range between any two of these values) to a sequence selected from the group consisting of SEQ ID NOs: 9-11, 20-23, 34-38, 49-52, and 63-67. Each of the plurality of oligonucleotide probes can comprise a sequence selected from the group consisting of SEQ ID NOs: 9-11, 20-23, 34-38, 49-52, and 63-67. Each of the plurality of oligonucleotide probes can consist of a sequence selected from the group consisting of SEQ ID NOs: 9-11, 20-23, 34-38, 49-52, and 63-67. At least one of the plurality of probes can comprise a fluorescence emitter moiety and a fluorescence quencher moiety.

Any probes described herein can comprise a fluorescence emitter moiety, a fluorescence quencher moiety, or both.

As disclosed herein, a reaction mixture can comprise one or more of the primers disclosed herein, one or more of the probes disclosed herein (e.g., the fluorophore-containing probes), or any combination thereof. In some embodiments, the reaction mixture comprises one or more of the primer and/or probe-containing composition disclosed herein. The reaction mixture can also comprise various additional components. Examples of the additional components in the reaction mixture include, but are not limited to, template DNA, DNA polymerase (e.g., Taq DNA polymerase), deoxynucleotides (dNTPs), buffer solution, biovalent cations, monovalent cation potassium ions, and any combination thereof. In some embodiments, the reaction mixture is a master mix for real-time PCR.

Samples

The methods and compositions disclosed herein are suitable for detecting one or more of V. cholerae, V. cholerae serogroup O1, V. cholerae serogroup O139, and V. cholerae encoding cholera toxin, in a wide variety of samples. As used herein, a “sample” can refer to any type of material of biological origin taken from one or more number of subjects that are suspected of suffering from cholera. The sample can comprise, for example, fluid, tissue or cell. The sample can comprise a biological material taken directly from a subject, or cultured call or tissues, or any fraction or products produced from or derived from biological materials. A sample can be purified, partially purified, unpurified, enriched, or amplified.

The sample can be a biological sample, for example a clinical sample. In some embodiments, the sample is taken from a biological source, such as vagina, urethra, penis, anus, throat, cervix, fermentation broths, cell cultures, and the like. The sample can comprise, for example, fluid and cells from stool samples. The biological sample can be used (i) directly as obtained from the subject or source, or (ii) following a pre-treatment to modify the character of the sample. Thus, the test sample can be pre-treated prior to use, for example, by disrupting cells or viral particles, preparing liquids from solid materials, diluting viscous fluids, filtering liquids, concentrating liquids, inactivating interfering components, adding reagents, purifying nucleic acids, and the like. Accordingly, a “biological sample” as used herein includes nucleic acids (DNA, RNA or total nucleic acids) extracted from a clinical or biological specimen. Sample preparation can also include using a solution that contains buffers, salts, detergents, and/or the like which are used to prepare the sample for analysis. In some embodiments, the sample is processed before molecular testing. In some embodiments, the sample is analyzed directly, and is not pre-processed prior to testing. The sample can be, for example, a stool sample In some embodiments, the sample is a stool sample from a patient with clinical symptoms of cholera.

Stool samples are often infected with multiple organisms. The disclosed primers and probes are tolerant to mixed infections of the stool samples.

In some embodiments, a sample to be tested is processed prior to performing the methods disclosed herein. For example, in some embodiments, the sample can be isolated, concentrated, or subjected to various other processing steps prior to performing the methods disclosed herein. For example, in some embodiments, the sample can be processed to isolate nucleic acids from the sample prior to contacting the sample with the oligonucleotides, as disclosed herein. In some embodiments, the methods disclosed herein are performed on the sample without culturing the sample in vitro. In some embodiments, the methods disclosed herein are performed on the sample without isolating nucleic acids from the sample prior to contacting the sample with oligonucleotides as disclosed herein.

A sample can comprise one or more nucleic acids (e.g., a plurality of nucleic acids). The term “plurality” as used herein can refer two or more. Thus, in some embodiments, a sample includes two or more (e.g., 3 or more, 5 or more, 10 or more, 20 or more, 50 or more, 100 or more, 500 or more, 1,000 or more, or 5,000 or more) nucleic acids (e.g., gDNA, mRNA). A disclosed method can be used as a very sensitive way to detect a target nucleic acid (e.g., the ompW gene of V. cholerae) present in a sample (e.g., in a complex mixture of nucleic acids such as gDNAs). In some embodiments, the sample includes 5 or more nucleic acids (e.g., 10 or more, 20 or more, 50 or more, 100 or more, 500 or more, 1,000 or more, or 5,000 or more nucleic acids) that differ from one another in sequence. In some embodiments, the sample includes 10 or more, 20 or more, 50 or more, 100 or more, 500 or more, 10³ or more, 5×10³ or more, 10⁴ or more, 5×10⁴ or more, 10⁵ or more, 5×10⁵ or more, 10⁶ or more 5×10⁶ or more, or 10⁷ or more, nucleic acids.

In some embodiments, the sample comprises from 10 to 20, from 20 to 50, from 50 to 100, from 100 to 500, from 500 to 10³, from 10³ to 5×10³, from 5×10³ to 10⁴, from 10⁴ to 5×10⁴, from 5×10⁴ to 10⁵, from 10⁵ to 5×10⁵, from 5×10⁵ to 10⁶, from 10⁶ to 5×10⁶, or from 5×10⁶ to 10⁷, or more than 10⁷, nucleic acids. In some embodiments, the sample comprises from 5 to 10⁷ nucleic acids (e.g., that differ from one another in sequence)(e.g., from 5 to 10⁶, from 5 to 10⁵, from 5 to 50,000, from 5 to 30,000, from 10 to 10⁶, from 10 to 10⁵, from 10 to 50,000, from 10 to 30,000, from 20 to 10⁶, from 20 to 10⁵, from 20 to 50,000, or from 20 to 30,000 nucleic acids, or a number or a range between any two of these values). In some embodiments, the sample includes 20 or more nucleic acids that differ from one another in sequence.

The term “sample” as used herein can mean any sample that includes nucleic acid (e.g., in order to determine whether a target nucleic acid is present among a population of nucleic acids). The sample can be derived from any source, e.g., the sample can be a synthetic combination of purified nucleic acids; the sample can be a cell lysate, an DNA-enriched cell lysate, or nucleic acids isolated and/or purified from a cell lysate. The sample can be from a patient (e.g., for the purpose of diagnosis). The sample can be from permeabilized cells. The sample can be from crosslinked cells. The sample can be in tissue sections. The sample can be from tissues prepared by crosslinking followed by delipidation and adjustment to make a uniform refractive index.

A “sample” can include a target nucleic acid (e.g., the ompW gene of V. cholerae) and a plurality of non-target nucleic acids. In some embodiments, the target nucleic acid is present in the sample at one copy per 10 non-target nucleic acids, one copy per 20 non-target nucleic acids, one copy per 25 non-target nucleic acids, one copy per 50 non-target nucleic acids, one copy per 100 non-target nucleic acids, one copy per 500 non-target nucleic acids, one copy per 10³ non-target nucleic acids, one copy per 5×10³ non-target nucleic acids, one copy per 10⁴ non-target nucleic acids, one copy per 5×10⁴ non-target nucleic acids, one copy per 10⁵ non-target nucleic acids, one copy per 5×10⁵ non-target nucleic acids, one copy per 10⁶ non-target nucleic acids, less than one copy per 10⁶ non-target nucleic acids, or a number or a range between any two of these values. In some embodiments, the target nucleic acid is present in the sample at from one copy per 10 non-target nucleic acids to 1 copy per 20 non-target nucleic acids, from 1 copy per 20 non-target nucleic acids to 1 copy per 50 non target nucleic acids, from 1 copy per 50 non-target nucleic acids to 1 copy per 100 non-target nucleic acids, from 1 copy per 100 non-target nucleic acids to 1 copy per 500 non-target nucleic acids, from 1 copy per 500 non target nucleic acids to 1 copy per 10³ non-target nucleic acids, from 1 copy per 10³ non-target nucleic acids to 1 copy per 5×10³ non-target nucleic acids, from 1 copy per 5×10³ non-target nucleic acids to 1 copy per 10⁴ non target nucleic acids, from 1 copy per 10⁴ non-target nucleic acids to 1 copy per 10⁵ non-target nucleic acids, from 1 copy per 10⁵ non-target nucleic acids to 1 copy per 10⁶ non-target nucleic acids, or from 1 copy per 10⁶ non target nucleic acids to 1 copy per 10⁷ non-target nucleic acids, or a number or a range between any two of these values.

Suitable samples include but are not limited to saliva, blood, serum, plasma, urine, aspirate, and biopsy samples. Thus, the term “sample” with respect to a patient encompasses blood and other liquid samples of biological origin, solid tissue samples such as a biopsy specimen or tissue cultures or cells derived therefrom and the progeny thereof. The definition also includes samples that have been manipulated in any way after their procurement, such as by treatment with reagents; washed; or enrichment for certain cell populations, such as cancer cells. The definition also includes sample that have been enriched for particular types of molecules, e.g., nucleic acids. The term “sample” encompasses biological samples such as a clinical sample such as blood, plasma, serum, aspirate, cerebral spinal fluid (CSF), and also includes tissue obtained by surgical resection, tissue obtained by biopsy, cells in culture, cell supernatants, cell lysates, tissue samples, organs, bone marrow, and the like. A “biological sample” includes biological fluids derived therefrom (e.g., cancerous cell, infected cell, etc.), e.g., a sample comprising nucleic acids that is obtained from such cells (e.g., a cell lysate or other cell extract comprising nucleic acids).

Appropriate samples for use in the methods disclosed herein include any conventional biological sample obtained from an organism or a part thereof, such as a plant, animal, bacteria, and the like. In particular embodiments, the biological sample is obtained from an animal subject, such as a human subject. A biological sample is any solid or fluid sample obtained from, excreted by or secreted by any living organism, including, without limitation, single celled organisms, such as bacteria, yeast, protozoans, and amoebas among others, multicellular organisms (such as plants or animals, including samples from a healthy or apparently healthy human subject or a human patient affected by a condition or disease to be diagnosed or investigated, such as an infection with a pathogenic microorganism, such as a pathogenic bacteria or virus). For example, a biological sample can be a biological fluid obtained from, for example, blood, plasma, serum, urine, stool, sputum, mucous, lymph fluid, synovial fluid, bile, ascites, pleural effusion, seroma, saliva, cerebrospinal fluid, aqueous or vitreous humor, or any bodily secretion, a transudate, an exudate (for example, fluid obtained from an abscess or any other site of infection or inflammation), or fluid obtained from a joint (for example, a normal joint or a joint affected by disease, such as rheumatoid arthritis, osteoarthritis, gout or septic arthritis), or a swab of skin or mucosal membrane surface.

A sample can also be a sample obtained from any organ or tissue (including a biopsy or autopsy specimen, such as a tumor biopsy) or can include a cell (whether a primary cell or cultured cell) or medium conditioned by any cell, tissue or organ. Exemplary samples include, without limitation, cells, cell lysates, blood smears, cytocentrifuge preparations, cytology smears, bodily fluids (e.g., blood, plasma, serum, saliva, sputum, urine, bronchoalveolar lavage, semen, etc.), tissue biopsies (e.g., tumor biopsies), fine-needle aspirates, and/or tissue sections (e.g., cryostat tissue sections and/or paraffin-embedded tissue sections). In other examples, the sample includes circulating tumor cells (which can be identified by cell surface markers). In particular examples, samples are used directly (e.g., fresh or frozen), or can be manipulated prior to use, for example, by fixation (e.g., using formalin) and/or embedding in wax (such as formalin-fixed paraffin-embedded (FFPE) tissue samples). It will be appreciated that any method of obtaining tissue from a subject can be utilized, and that the selection of the method used will depend upon various factors such as the type of tissue, age of the subject, or procedures available to the practitioner. Standard techniques for acquisition of such samples are available in the art.

In other embodiments, a sample may be an environmental sample, such as water, soil, or a surface such as industrial or medical surface.

Owing to the increased sensitivity of the embodiments disclosed herein, in certain example embodiments, the assays and methods may be run on crude samples or samples where the target molecules to be detected are not further fractionated or purified from the sample.

Sample Extraction

In typical sample extractions, cells are lysed by mechanical shearing with glass beads as described in U.S. Pat. No. 7,494,771, incorporated by reference in its entirety herein, to lyse the target organisms. As disclosed in WO03/008636, such a generic method of cell lysis is efficient for a wide variety of target organisms and specimen matrices. There are also other less universal lysis methods that are designed specifically to target a certain species or group of organisms, or which exploit specific enzymatic or chemical activities. For example, ACP enzyme is commonly used to lyse of Gram-positive organisms (Ezaki et al., J. Clin. Microbiol., 16(5):844-846 (1982); Paule et al., J. Mol. Diagn., 6(3):191-196 (2004); U.S. Pat. No. 3,649,454; all incorporated by reference in their entirety herein) and mycobacteria (U.S. Pat. No. 5,185,242, incorporated by reference in its entirety) but is generally considered to be less efficacious with respect to lysis of Gram-negative species such as E. coli and Pseudomonas aeruginosa (U.S. Pat. No. 3,649,454, incorporated by reference in its entirety).

Nucleic Acid Testing

The methods described herein can include, for example, nucleic acid testing. For example, the test can include testing for target nucleic acid sequences in a sample. Various forms of nucleic acid testing can be used in the embodiments disclosed herein, including but not limited to, testing that involves nucleic acid amplification. A target nucleic acid (e.g., gDNA, mRNA) can be single-stranded or double-stranded. The source of the target nucleic acid can be any source (e.g., any sample). In some embodiments, the target nucleic acid is a bacterial nucleic acid (e.g., a genomic DNA (gDNA) or an mRNA of a bacterium). As such, the compositions and methods provided herein can be employed for detecting the presence of a bacterial nucleic acid amongst a population of nucleic acids (e.g., in a sample).

Provided herein are compositions and methods for detecting a target nucleic acid (e.g., the ompW gene of V. cholerae) in a sample that can detect said target nucleic acid with a high degree of sensitivity. In some embodiments, the compositions and methods provided herein can be used to detect a target nucleic acid present in a sample comprising a plurality of nucleic acids (including the target nucleic acid and a plurality of non-target nucleic acids), wherein the target nucleic acid is present at one or more copies per 10⁷ non-target nucleic acids (e.g., one or more copies per 10⁶ non-target nucleic acids, one or more copies per 10⁵ non-target nucleic acids, one or more copies per 10⁴ non-target nucleic acids, one or more copies per 10³ non-target nucleic acids, one or more copies per 10² non-target nucleic acids, one or more copies per 50 non-target nucleic acids, one or more copies per 20 non-target nucleic acids, one or more copies per 10 non-target nucleic acids, or one or more copies per 5 non-target nucleic acids). In some embodiments, the disclosed methods can be used to detect a target nucleic acid present in a sample comprising a plurality of nucleic acids (including the target nucleic acid and a plurality of non-target nucleic acids), wherein the target nucleic acid is present at one or more copies per 10¹⁸ non-target nucleic acids (e.g., one or more copies per 10¹⁵ non-target nucleic acids, one or more copies per 10¹² non-target nucleic acids, one or more copies per 10⁹ non-target nucleic acids, one or more copies per 10⁶ non-target nucleic acids, one or more copies per 10⁵ non-target nucleic acids, one or more copies per 10⁴ non-target nucleic acids, one or more copies per 10³ non-target nucleic acids, one or more copies per 10² non-target nucleic acids, one or more copies per 50 non-target nucleic acids, one or more copies per 20 non-target nucleic acids, one or more copies per 10 non-target nucleic acids, or one or more copies per 5 non-target nucleic acids).

In some embodiments, the threshold of detection, for a disclosed methods of detecting a target nucleic acid (e.g., the ompW gene of V. cholerae) in a sample, is 10 nM or less. The term “threshold of detection” as used herein can describe the minimal amount of target nucleic acid that must be present in a sample in order for detection to occur. Thus, as an illustrative example, when a threshold of detection is 10 nM, then a signal can be detected when a target nucleic acid is present in the sample at a concentration of 10 nM or more. In some embodiments, the threshold of detection (for detecting the target nucleic acid in a disclosed method), is in a range of from 500 fM to 1 nM (e.g., from 500 fM to 500 pM, from 500 fM to 200 pM, from 500 fM to 100 pM, from 500 fM to 10 pM, from 500 fM to 1 pM, from 800 fM to 1 nM, from 800 fM to 500 pM, from 800 fM to 200 pM, from 800 fM to 100 pM, from 800 fM to 10 pM, from 800 fM to 1 pM, from 1 pM to 1 nM, from 1 pM to 500 pM, from 1 pM to 200 pM, from 1 pM to 100 pM, or from 1 pM to 10 pM, or a number or a range between any two of these values) (where the concentration refers to the threshold concentration of target nucleic acid at which the target nucleic acid can be detected). In some embodiments, a disclosed method has a threshold of detection in a range of from 800 fM to 100 pM. In some embodiments, a disclosed method has a threshold of detection in a range of from 1 pM to 10 pM. In some embodiments, a disclosed method has a threshold of detection in a range of from 10 fM to 500 fM, e.g., from 10 fM to 50 fM, from 50 fM to 100 fM, from 100 fM to 250 fM, or from 250 fM to 500 fM, or a number or a range between any two of these values.

In some embodiments, the minimum concentration at which a target nucleic acid (e.g., the ompW gene of V. cholerae) can be detected in a sample is in a range of from 500 fM to 1 nM (e.g., from 500 fM to 500 pM, from 500 fM to 200 pM, from 500 fM to 100 pM, from 500 fM to 10 pM, from 500 fM to 1 pM, from 800 fM to 1 nM, from 800 fM to 500 pM, from 800 fM to 200 pM, from 800 fM to 100 pM, from 800 fM to 10 pM, from 800 fM to 1 pM, from 1 pM to 1 nM, from 1 pM to 500 pM, from 1 pM to 200 pM, from 1 pM to 100 pM, or from 1 pM to 10 pM, or a number or a range between any two of these values). In some embodiments, the minimum concentration at which a target nucleic acid can be detected in a sample is in a range of from 800 fM to 100 pM. In some embodiments, the minimum concentration at which a target nucleic acid can be detected in a sample is in a range of from 1 pM to 10 pM.

In some embodiments, the threshold of detection (for detecting the target nucleic acid in a disclosed method), is in a range of from 1 aM to 1 nM (e.g., from 1 aM to 500 pM, from 1 aM to 200 pM, from 1 aM to 100 pM, from 1 aM to 10 pM, from 1 aM to 1 pM, from 100 aM to 1 nM, from 100 aM to 500 pM, from 100 aM to 200 pM, from 100 aM to 100 pM, from 100 aM to 10 pM, from 100 aM to 1 pM, from 250 aM to 1 nM, from 250 aM to 500 pM, from 250 aM to 200 pM, from 250 aM to 100 pM, from 250 aM to 10 pM, from 250 aM to 1 pM, from 500 aM to 1 nM, from 500 aM to 500 pM, from 500 aM to 200 pM, from 500 aM to 100 pM, from 500 aM to 10 pM, from 500 aM to 1 pM, from 750 aM to 1 nM, from 750 aM to 500 pM, from 750 aM to 200 pM, from 750 aM to 100 pM, from 750 aM to 10 pM, from 750 aM to 1 pM, from 1 fM to 1 nM, from 1 fM to 500 pM, from 1 fM to 200 pM, from 1 fM to 100 pM, from 1 fM to 10 pM, from 1 fM to 1 pM, from 500 fM to 500 pM, from 500 fM to 200 pM, from 500 fM to 100 pM, from 500 fM to 10 pM, from 500 fM to 1 pM, from 800 fM to 1 nM, from 800 fM to 500 pM, from 800 fM to 200 pM, from 800 fM to 100 pM, from 800 fM to 10 pM, from 800 fM to 1 pM, from 1 pM to 1 nM, from 1 pM to 500 pM, from 1 pM to 200 pM, from 1 pM to 100 pM, or from 1 pM to 10 pM, or a number or a range between any two of these values) (where the concentration refers to the threshold concentration of target nucleic acid at which the target nucleic acid can be detected). In some embodiments, a disclosed method has a threshold of detection in a range of from 1 aM to 800 aM. In some embodiments, a disclosed method has a threshold of detection in a range of from 50 aM to 1 pM. In some embodiments, a disclosed method has a threshold of detection in a range of from 50 aM to 500 fM.

In some embodiments, the minimum concentration at which a target nucleic acid (e.g., the ompW gene of V. cholerae) can be detected in a sample is in a range of from 1 aM to 1 nM (e.g., from 1 aM to 500 pM, from 1 aM to 200 pM, from 1 aM to 100 pM, from 1 aM to 10 pM, from 1 aM to 1 pM, from 100 aM to 1 nM, from 100 aM to 500 pM, from 100 aM to 200 pM, from 100 aM to 100 pM, from 100 aM to 10 pM, from 100 aM to 1 pM, from 250 aM to 1 nM, from 250 aM to 500 pM, from 250 aM to 200 pM, from 250 aM to 100 pM, from 250 aM to 10 pM, from 250 aM to 1 pM, from 500 aM to 1 nM, from 500 aM to 500 pM, from 500 aM to 200 pM, from 500 aM to 100 pM, from 500 aM to 10 pM, from 500 aM to 1 pM, from 750 aM to 1 nM, from 750 aM to 500 pM, from 750 aM to 200 pM, from 750 aM to 100 pM, from 750 aM to 10 pM, from 750 aM to 1 pM, from 1 fM to 1 nM, from 1 fM to 500 pM, from 1 fM to 200 pM, from 1 fM to 100 pM, from 1 fM to 10 pM, from 1 fM to 1 pM, from 500 fM to 500 pM, from 500 fM to 200 pM, from 500 fM to 100 pM, from 500 fM to 10 pM, from 500 fM to 1 pM, from 800 fM to 1 nM, from 800 fM to 500 pM, from 800 fM to 200 pM, from 800 fM to 100 pM, from 800 fM to 10 pM, from 800 fM to 1 pM, from 1 pM to 1 nM, from 1 pM to 500 pM, from 1 pM to 200 pM, from 1 pM to 100 pM, or from 1 pM to 10 pM, or a number or a range between any two of these values). In some embodiments, the minimum concentration at which a target nucleic acid can be detected in a sample is in a range of from 1 aM to 500 pM. In some embodiments, the minimum concentration at which a target nucleic acid can be detected in a sample is in a range of from 100 aM to 500 pM. In some embodiments, a composition or method provided herein exhibits an attomolar (aM) sensitivity of detection. In some embodiments, a subject composition or method exhibits a femtomolar (fM) sensitivity of detection. In some embodiments, a subject composition or method exhibits a picomolar (pM) sensitivity of detection. In some embodiments, a subject composition or method exhibits a nanomolar (nM) sensitivity of detection.

As used herein, nucleic acid amplification can refer to any known procedure for obtaining multiple copies of a target nucleic acid sequence or its complement or fragments thereof, using sequence-specific methods. Examples of known amplification methods include, but are not limited to, polymerase chain reaction (PCR), ligase chain reaction (LCR), loop-mediated isothermal amplification (LAMP), strand displacement amplification (SDA) (e.g., multiple displacement amplification (MDA)), replicase-mediated amplification, immuno-amplification, nucleic acid sequence based amplification (NASBA), self-sustained sequence replication (3SR), rolling circle amplification, and transcription-mediated amplification (TMA). See, e.g., Mullis, “Process for Amplifying, Detecting, and/or Cloning Nucleic Acid Sequences,” U.S. Pat. No. 4,683,195; Walker, “Strand Displacement Amplification,” U.S. Pat. No. 5,455,166; Dean et al, “Multiple displacement amplification,” U.S. Pat. No. 6,977,148; Notomi et al., “Process for Synthesizing Nucleic Acid,” U.S. Pat. No. 6,410,278; Landegren et al. U.S. Pat. No. 4,988,617 “Method of detecting a nucleotide change in nucleic acids”; Birkenmeyer, “Amplification of Target Nucleic Acids Using Gap Filling Ligase Chain Reaction,” U.S. Pat. No. 5,427,930; Cashman, “Blocked-Polymerase Polynucleotide Immunoassay Method and Kit,” U.S. Pat. No. 5,849,478; Kacian et al., “Nucleic Acid Sequence Amplification Methods,” U.S. Pat. No. 5,399,491; Malek et al., “Enhanced Nucleic Acid Amplification Process,” U.S. Pat. No. 5,130,238; Lizardi et al., BioTechnology, 6:1197 (1988); Lizardi et al., U.S. Pat. No. 5,854,033 “Rolling circle replication reporter systems.” In some embodiments, two or more of the aforementioned nucleic acid amplification methods can be performed, for example sequentially.

For example, LCR amplification uses at least four separate oligonucleotides to amplify a target and its complementary strand by using multiple cycles of hybridization, ligation, and denaturation (EP Patent No. 0 320 308). SDA amplifies by using a primer that contains a recognition site for a restriction endonuclease which nicks one strand of a hemimodified DNA duplex that includes the target sequence, followed by amplification in a series of primer extension and strand displacement steps (U.S. Pat. No. 5,422,252 to Walker et al.).

PCR is a method well-known in the art for amplification of nucleic acids. PCR involves amplification of a target sequence using two or more extendable sequence-specific oligonucleotide primers that flank the target sequence. The nucleic acid containing the target sequence of interest is subjected to a program of multiple rounds of thermal cycling (denaturation, annealing and extension) in the presence of the primers, a thermostable DNA polymerase (e.g., Taq polymerase) and various dNTPs, resulting in amplification of the target sequence. PCR uses multiple rounds of primer extension reactions in which complementary strands of a defined region of a DNA molecule are simultaneously synthesized by a thermostable DNA polymerase. At the end of each cycle, each newly synthesized DNA molecule acts as a template for the next cycle. During repeated rounds of these reactions, the number of newly synthesized DNA strands increases exponentially such that after 20 to 30 reaction cycles, the initial template DNA will have been replicated several thousand-fold or million-fold. Methods for carrying out different types and modes of PCR are thoroughly described in the literature, for example in “PCR Primer: A Laboratory Manual” Dieffenbach and Dveksler, eds. Cold Spring Harbor Laboratory Press, 1995, and by Mullis et al. in patents (e.g., U.S. Pat. Nos. 4,683,195, 4,683,202 and 4,800,159) and scientific publications (e.g. Mullis et al. 1987, Methods in Enzymology, 155:335-350) where the contents of each reference are hereby incorporated by reference in their entireties.

PCR can generate double-stranded amplification products suitable for post-amplification processing. If desired, amplification products can be detected by visualization with agarose gel electrophoresis, by an enzyme immunoassay format using probe-based colorimetric detection, by fluorescence emission technology, or by other detection means known to one of skill in the art.

A wide variety of PCR methods have been described in many sources, for example, Ausubel et al. (eds.), Current Protocols in Molecular Biology, Section 15, John Wiley & Sons, Inc., New York (1994). Examples of PCR method include, but not limited to, Real-Time PCR, End-Point PCR, Amplified fragment length polymorphism PCR (AFLP-PCR), Alu-PCR, Asymmetric PCR, Colony PCR, DD-PCR, Degenerate PCR, Hot-start PCR, In situ PCR, Inverse PCR Long-PCR, Multiplex PCR, Nested PCR, PCR-ELISA, PCR-RFLP, PCR-single strand conformation polymorphism (PCR-SSCP), quantitative competitive PCR (QC-PCR), rapid amplification of cDNA ends-PCR (RACE-PCR), Random Amplification of Polymorphic DNA-PCR (RAPD-PCR), Real-Time PCR, Repetitive extragenic palindromic-PCR (Rep-PCR), reverse transcriptase PCR (RT-PCR), TAIL-PCR, Touchdown PCR and Vectorette PCR.

Real-time PCR, also called quantitative real time polymerase chain reaction (QRT-PCR), can be used to simultaneously quantify and amplify a specific part of a given nucleic acid molecule. It can be used to determine whether a specific sequence is present in the sample; and if it is present, the number of copies of the sequence that are present. The term “real-time” can refer to periodic monitoring during PCR. Certain systems such as the ABI 7700 and 7900HT Sequence Detection Systems (Applied Biosystems, Foster City, Calif.) conduct monitoring during each thermal cycle at a pre-determined or user-defined point. Real-time analysis of PCR with fluorescence resonance energy transfer (FRET) probes measures fluorescent dye signal changes from cycle-to-cycle, preferably minus any internal control signals. The real-time procedure follows the general pattern of PCR, but the nucleic acid is quantified after each round of amplification. Two examples of method of quantification are the use of fluorescent dyes (e.g., SYBRGreen) that intercalate into double-stranded DNA, and modified DNA oligonucleotide probes that fluoresce when hybridized with a complementary DNA. Intercalating agents have a relatively low fluorescence when unbound, and a relatively high fluorescence upon binding to double-stranded nucleic acids. As such, intercalating agents can be used to monitor the accumulation of double strained nucleic acids during a nucleic acid amplification reaction. Examples of such non-specific dyes useful in the embodiments disclosed herein include intercalating agents such as SYBR Green I (Molecular Probes), propidium iodide, ethidium bromide, and the like.

Stool samples are often infected with multiple organisms. The disclosed primers and probes are tolerant to mixed infections of the stool. Because of the specific target sequences, primers and probes, the methods and compositions disclosed herein can be used to detect the presence/absence or level of one or more of V. cholerae, V. cholerae serogroup O1, V. cholerae serogroup O139, and V. cholerae encoding cholera toxin in a sample with high sensitivity, specificity and accuracy.

The primers disclosed herein can be paired with additional PCR systems using a uniform chemistry and thermal PCR profile to provide a panel of assays for the detection of one or more of V. cholerae, V. cholerae serogroup O1, V. cholerae serogroup O139, and V. cholerae encoding cholera toxin, to improve overall assay sensitivity and robustness.

In some embodiments, multiplex PCR is performed to amplify and detect, e.g., by direct or indirect means, the presence or absence of one or more of V. cholerae, V cholerae serogroup O1, V. cholerae serogroup O139, and V. cholerae encoding cholera toxin to allow diagnosis of cholera using one test. In the multiplex PCR, the presence or absence of V. cholerae, can be determined by amplifying and detecting the presence or absence of the ompW gene; the presence or absence of V. cholerae serogroup O1 can be determined by amplifying and detecting the presence or absence of the rfbN gene; the presence or absence of V. cholerae serogroup O139 can be determined by amplifying and detecting the presence or absence of the wbfR gene; and the presence or absence of V. cholerae encoding cholera toxin can be determined by amplifying and detecting the presence or absence of the ctxA (cholera toxin) gene.

Accordingly, some embodiments for the detection and/or identification of V. cholerae, V. cholerae serogroup O1, V. cholerae serogroup O139, and V. cholerae encoding cholera toxin in a sample include the steps of providing a test sample; and contacting the sample with oligonucleotide primers that can specifically hybridize and amplify (1) the ompW gene of V. cholerae, (2) the rfbN gene of V. cholerae serogroup O1, (3) the wbfR gene of V. cholerae serogroup O139, and (4) the ctxA (cholera toxin) gene of V. cholerae, and oligonucleotide probes that can specifically hybridizes to (1) the ompW gene of V. cholerae, (2) the rfbN gene of V. cholerae serogroup O1, (3) the wbfR gene of V. cholerae serogroup O139, and (4) the ctxA (cholera toxin) gene of V. cholerae under standard nucleic acid amplification conditions and/or stringent hybridization conditions. As described herein, the sample can be contacted with all of the primers and probes at once, or can be contacted with some of the primers and probes first and subsequently contacted by the remainder of the primers and probes.

The oligonucleotide probe can be, for example, between about 10 and about 45 nucleotides in length, and comprises a detectable moiety (e.g., a signal moiety, a detectable label). In some embodiments, the contacting is performed under conditions allowing for the specific hybridization of the primers to the corresponding targeted gene region if the target organism is present in the sample. The presence and/or amount of probe that is specifically bound to the corresponding targeted gene region (if present in the sample being tested) can be determined, wherein bound probe is indicative of the presence of the corresponding target organism in the sample. In some embodiments, the amount of bound probe is used to determine the amount of the corresponding target organism in the sample.

The determining step can be achieved using any methods known to those skilled in the art, including but not limited to, in situ hybridization, following the contacting step. The detection of hybrid duplexes (i.e., of a probe specifically bound to the targeted gene region) can be carried out by a number of methods. Typically, hybridization duplexes are separated from unhybridized nucleic acids and the labels bound to the duplexes are then detected. Such labels refer to radioactive, fluorescent, biological or enzymatic tags or labels of standard use in the art. A label can be conjugated to either the oligonucleotide probes or the nucleic acids derived from the biological sample. Those of skill in the art will appreciate that wash steps may be employed to wash away excess sample/target nucleic acids or oligonucleotide probe (as well as unbound conjugate, where applicable). Further, standard heterogeneous assay formats are suitable for detecting the hybrids using the labels present on the oligonucleotide primers and probes. Determining the presence or amount of one or more amplicons can comprise contacting said amplicons with a plurality of oligonucleotide probes. At least one of the plurality of oligonucleotide probes comprises a fluorescence emitter moiety and a fluorescence quencher moiety. In some embodiments, determining the presence or amount of one or more amplicons comprises measuring a detectable signal, such as, for example, a detectable signal from a probe.

In some embodiments, determining the presence or amount of one or more amplicons comprises measuring a detectable signal, such as, for example, a detectable signal from a probe (e.g., after cleavage of the probe by the 5′-3′ exonuclease activity of a PCR polymerase (e.g., Taq)). Determining the presence or amount of one or more amplicons can comprise measuring a detectable signal, such as, for example, a detectable signal from a probe. The measuring can in some embodiments be quantitative, e.g., in the sense that the amount of signal detected can be used to determine the amount of target nucleic acid (e.g., the ompW gene of V. cholerae) present in the sample. The measuring can in some embodiments be qualitative, e.g., in the sense that the presence or absence of detectable signal can indicate the presence or absence of targeted DNA (e.g., virus, SNP, etc.). In some embodiments, a detectable signal will not be present (e.g., above a given threshold level) unless the targeted DNA(s) (e.g., virus, SNP, etc.) is present above a particular threshold concentration. In some embodiments, a disclosed method can be used to determine the amount of a target nucleic acid (e.g., the ompW gene of V. cholerae) in a sample (e.g., a sample comprising the target nucleic acid and a plurality of non-target nucleic acids). Determining the amount of a target nucleic acid in a sample can comprise comparing the amount of detectable signal generated from a test sample to the amount of detectable signal generated from a reference sample. Determining the amount of a target nucleic acid in a sample can comprise: measuring the detectable signal to generate a test measurement; measuring a detectable signal produced by a reference sample to generate a reference measurement; and comparing the test measurement to the reference measurement to determine an amount of target nucleic acid present in the sample. Determining the amount of a target nucleic acid in a sample can be used to derive the presence and/or amount of an organism comprising said target nucleic acid in a sample.

In some embodiments, a detectable signal is measured is produced by the fluorescence-emitting dye pair of a probe. For example, in some embodiments, a disclosed method includes contacting amplicons with a probe comprising a fluorescence resonance energy transfer (FRET) pair or a quencher/fluor pair, or both. In some embodiments, a disclosed method includes contacting amplicons with a probe comprising a FRET pair. In some embodiments, a disclosed method includes contacting amplicons with a probe comprising a fluor/quencher pair.

Fluorescence-emitting dye pairs comprise a FRET pair or a quencher/fluor pair. In both embodiments of a FRET pair and a quencher/fluor pair, the emission spectrum of one of the dyes overlaps a region of the absorption spectrum of the other dye in the pair. As used herein, the term “fluorescence-emitting dye pair” is a generic term used to encompass both a “fluorescence resonance energy transfer (FRET) pair” and a “quencher/fluor pair,” both of which terms are discussed in more detail below. The term “fluorescence-emitting dye pair” is used interchangeably with the phrase “a FRET pair and/or a quencher/fluor pair.”

In some embodiments (e.g., when the probe includes a FRET pair) the probe produces an amount of detectable signal prior to being cleaved, and the amount of detectable signal that is measured is reduced when the probe is cleaved. In some embodiments, the probe produces a first detectable signal prior to being cleaved (e.g., from a FRET pair) and a second detectable signal when the probe is cleaved (e.g., from a quencher/fluor pair). As such, in some embodiments, the probe comprises a FRET pair and a quencher/fluor pair.

In some embodiments, the probe comprises a FRET pair. FRET is a process by which radiationless transfer of energy occurs from an excited state fluorophore to a second chromophore in close proximity. The range over which the energy transfer can take place is limited to approximately 10 nanometers (100 angstroms), and the efficiency of transfer is extremely sensitive to the separation distance between fluorophores. Thus, as used herein, the term “FRET” (“fluorescence resonance energy transfer”; also known as “Forster resonance energy transfer”) can refer to a physical phenomenon involving a donor fluorophore and a matching acceptor fluorophore selected so that the emission spectrum of the donor overlaps the excitation spectrum of the acceptor, and further selected so that when donor and acceptor are in close proximity (usually 10 nm or less) to one another, excitation of the donor will cause excitation of and emission from the acceptor, as some of the energy passes from donor to acceptor via a quantum coupling effect. Thus, a FRET signal serves as a proximity gauge of the donor and acceptor; only when they are in close proximity to one another is a signal generated. The FRET donor moiety (e.g., donor fluorophore) and FRET acceptor moiety (e.g., acceptor fluorophore) are collectively referred to herein as a “FRET pair”.

The donor-acceptor pair (a FRET donor moiety and a FRET acceptor moiety) is referred to herein as a “FRET pair” or a “signal FRET pair.” Thus, in some embodiments, a probe includes two signal partners (a signal pair), when one signal partner is a FRET donor moiety and the other signal partner is a FRET acceptor moiety. A probe that includes such a FRET pair (a FRET donor moiety and a FRET acceptor moiety) will thus exhibit a detectable signal (a FRET signal) when the signal partners are in close proximity (e.g., while on the same RNA molecule), but the signal will be reduced (or absent) when the partners are separated (e.g., after cleavage of the probe by the 5′-3′ exonuclease activity of a PCR polymerase (e.g., Taq)). FRET donor and acceptor moieties (FRET pairs) will be known to one of ordinary skill in the art and any convenient FRET pair (e.g., any convenient donor and acceptor moiety pair) can be used.

In some embodiments, one signal partner of a signal quenching pair produces a detectable signal and the other signal partner is a quencher moiety that quenches the detectable signal of the first signal partner (e.g., the quencher moiety quenches the signal of the signal moiety such that the signal from the signal moiety is reduced (quenched) when the signal partners are in proximity to one another, e.g., when the signal partners of the signal pair are in close proximity).

For example, in some embodiments, an amount of detectable signal increases when the probe is cleaved. For example, in some embodiments, the signal exhibited by one signal partner (a signal moiety, a fluorescence emitter moiety) is quenched by the other signal partner (a quencher signal moiety, a fluorescence quencher moiety), e.g., when both are present on the same ssDNA molecule prior to cleavage by the 5′-3′ exonuclease activity of a PCR polymerase (e.g., Taq). Such a signal pair is referred to herein as a “quencher/fluor pair”, “quenching pair”, or “signal quenching pair.” For example, in some embodiments, one signal partner (e.g., the first signal partner) is a signal moiety that produces a detectable signal that is quenched by the second signal partner (e.g., a quencher moiety). The signal partners of such a quencher/fluor pair will thus produce a detectable signal when the partners are separated (e.g., after cleavage of the probe by the 5′-3′ exonuclease activity of a PCR polymerase (e.g., Taq)), but the signal will be quenched when the partners are in close proximity (e.g., prior to cleavage of the probe by the 5′-3′ exonuclease activity of a PCR polymerase (e.g., Taq)).

A quencher moiety can quench a signal from the signal moiety (e.g., prior to cleavage of the probe by the 5′-3′ exonuclease activity of a PCR polymerase (e.g., Taq)) to various degrees. In some embodiments, a quencher moiety quenches the signal from the signal moiety where the signal detected in the presence of the quencher moiety (when the signal partners are in proximity to one another) is 95% or less of the signal detected in the absence of the quencher moiety (when the signal partners are separated). For example, in some embodiments, the signal detected in the presence of the quencher moiety can be 90% or less, 80% or less, 70% or less, 60% or less, 50% or less, 40% or less, 30% or less, 20% or less, 15% or less, 10% or less, or 5% or less of the signal detected in the absence of the quencher moiety. In some embodiments, no signal (e.g., above background) is detected in the presence of the quencher moiety.

In some embodiments, the signal detected in the absence of the quencher moiety (when the signal partners are separated) is at least 1.2 fold greater (e.g., at least 1.3 fold, at least 1.5 fold, at least 1.7 fold, at least 2 fold, at least 2.5 fold, at least 3 fold, at least 3.5 fold, at least 4 fold, at least 5 fold, at least 7 fold, at least 10 fold, at least 20 fold, or at least 50 fold greater, or a number or a range between any two of these values) than the signal detected in the presence of the quencher moiety (when the signal partners are in proximity to one another).

In some embodiments, the signal moiety is a fluorescent label. In some such embodiments, the quencher moiety quenches the signal (e.g., the light signal) from the fluorescent label (e.g., by absorbing energy in the emission spectra of the label). Thus, when the quencher moiety is not in proximity with the signal moiety, the emission (the signal) from the fluorescent label can be detectable because the signal is not absorbed by the quencher moiety. Any convenient donor acceptor pair (signal moiety/quencher moiety pair) can be used and many suitable pairs are known in the art.

In some embodiments, the quencher moiety absorbs energy from the signal moiety (also referred to herein as a “detectable label” or a “detectable moiety”) and then emits a signal (e.g., light at a different wavelength). Thus, in some embodiments, the quencher moiety is itself a signal moiety (e.g., a signal moiety can be 6-carboxyfluorescein while the quencher moiety can be 6-carboxy-tetramethylrhodamine), and in some such embodiments, the pair could also be a FRET pair. In some embodiments, a quencher moiety is a dark quencher. A dark quencher can absorb excitation energy and dissipate the energy in a different way (e.g., as heat). Thus, a dark quencher has minimal to no fluorescence of its own (does not emit fluorescence).

In some embodiments, cleavage of a probe can be detected by measuring a colorimetric read-out. For example, the liberation of a fluorophore (e.g., liberation from a FRET pair, liberation from a quencher/fluor pair, and the like) can result in a wavelength shift (and thus color shift) of a detectable signal. Thus, in some embodiments, cleavage of a probe can be detected by a color-shift. Such a shift can be expressed as a loss of an amount of signal of one color (wavelength), a gain in the amount of another color, a change in the ration of one color to another, and the like.

Disclosed herein include methods and compositions for multiplex real-time PCR capable of simultaneously detecting 5 gene targets, which can accomplish detection, serotyping of V. cholerae and cholera toxin detection all in a single reaction. There are provided, in some embodiments, methods of detecting V. cholerae in a sample. In some embodiments, the method comprises: contacting said sample with a plurality of pairs of primers, wherein the plurality of pairs of primer comprises: at least one pair of primers capable of hybridizing to the ompW gene of V. cholerae, wherein each primer in said at least one pair of primers comprises any one of the sequences of SEQ ID NOs: 1-8, or a sequence that exhibits at least about 85% identity (e.g., 85%, 86%, 87%, 88%, 89%, 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, 100%, or a number or a range between any two of these values) to any one of the sequences of SEQ ID NOs: 1-8; at least one pair of primers capable of hybridizing to the rfbN gene of V. cholerae serogroup O1, wherein each primer in said at least one pair of primers comprises any one of the sequences of SEQ ID NOs: 12-19, or a sequence that exhibits at least about 85% identity (e.g., 85%, 86%, 87%, 88%, 89%, 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, 100%, or a number or a range between any two of these values) to any one of the sequences of SEQ ID NOs: 12-19; at least one pair of primers capable of hybridizing to the wbfR gene of V. cholerae serogroup O139, wherein each primer in said at least one pair of primers comprises any one of the sequences of SEQ ID NOs: 24-33, or a sequence that exhibits at least about 85% identity (e.g., 85%, 86%, 87%, 88%, 89%, 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, 100%, or a number or a range between any two of these values) to any one of the sequences of SEQ ID NOs: 24-33; and at least one pair of primers capable of hybridizing to the ctxA (cholera toxin) gene of V. cholerae, wherein each primer in said at least one pair of primers comprises any one of the sequences of SEQ ID NOs: 39-48, or a sequence that exhibits at least about 85% identity (e.g., 85%, 86%, 87%, 88%, 89%, 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, 100%, or a number or a range between any two of these values) to any one of the sequences of SEQ ID NOs: 39-48. The method can comprise: generating amplicons of the ompW gene sequence, amplicons of the rfbN gene sequence, amplicons of the wbfR gene sequence, amplicons of the ctxA gene sequence, or any combination thereof, if said sample comprises one or more of V. cholerae, V cholerae serogroup O1, V. cholerae serogroup O139, and V. cholerae encoding cholera toxin. The method can comprise: determining the presence or amount of one or more amplicons as an indication of the presence of one or more of V. cholerae, V. cholerae serogroup O1, V. cholerae serogroup O139, and V. cholerae encoding cholera toxin in said sample. The method can comprise: contacting the sample with at least one pair of control primers capable of hybridizing to the yaiO gene of E. coli, wherein each primer in said at least one pair of control primers comprises any one of the sequences of SEQ ID NOs: 53-62, or a sequence that exhibits at least about 85% identity (e.g., 85%, 86%, 87%, 88%, 89%, 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, 100%, or a number or a range between any two of these values) to any one of the sequences of SEQ ID NOs: 53-62, and generating amplicons of the yaiO gene sequence of E. coli from said sample, if said sample comprises E. coli; and determining the presence or amount of the amplicons of the yaiO gene sequence of E. coli as an indication of the presence of E. coli in said sample. In some embodiments, the sample is contacted with a composition comprising the plurality of pairs of primers and the at least one pair of control primers capable of hybridizing to the yaiO gene of E. coli.

The sample can be a biological sample or an environmental sample. The environmental sample can be obtained from a food sample, a beverage sample, a paper surface, a fabric surface, a metal surface, a wood surface, a plastic surface, a soil sample, a fresh water sample, a waste water sample, a saline water sample, exposure to atmospheric air or other gas sample, cultures thereof, or any combination thereof. The biological sample can be obtained from a tissue sample, saliva, blood, plasma, sera, stool, urine, sputum, mucous, lymph, synovial fluid, cerebrospinal fluid, ascites, pleural effusion, seroma, pus, swab of skin or a mucosal membrane surface, cultures thereof, or any combination thereof. In some embodiments, the biological sample comprises or is derived from a fecal sample.

The plurality of pairs of primers can comprise a first primer comprising the sequence of SEQ ID NOs: 1, 3, 5, or 7, a second primer comprising the sequence of SEQ ID NOs: 2, 4, 6, or 8, a third primer comprising the sequence of SEQ ID NOs: 12, 14, 16, or 18, a fourth primer comprising the sequence of SEQ ID NOs: 13, 15, 17, or 19, a fifth primer comprising the sequence of SEQ ID NOs: 24, 26, 28, 30, or 32, a sixth primer comprising the sequence of SEQ ID NOs: 25, 27, 29, 31, or 33, a seventh primer comprising the sequence of SEQ ID NOs: 39, 41, 43, 45, or 47, and an eighth primer comprising the sequence of SEQ ID NOs: 40, 42, 44, 46, or 48. The plurality of pairs of primers can comprise an ninth primer comprising the sequence of SEQ ID NOs: 53, 55, 57, 59, or 61, and a tenth primer comprising the sequence of SEQ ID NOs: 54, 56, 58, 60, or 62.

In some embodiments, the pair of primers capable of hybridizing to the ompW gene of V. cholerae is SEQ ID NOs: 1 and 2, SEQ ID NOs: 3 and 4, SEQ ID NOs: 5 and 6, or SEQ ID NOs: 7 and 8; the pair of primers capable of hybridizing to the rfbN gene of V. cholerae serogroup O1 is SEQ ID NOs: 12 and 13, SEQ ID NOs: 14 and 15, SEQ ID NOs: 16 and 17, or SEQ ID NOs: 18 and 19; the pair of primers capable of hybridizing to the wbfR gene of V. cholerae serogroup O139 is SEQ ID NOs: 24 and 25, SEQ ID NOs: 26 and 27, SEQ ID NOs: 28 and 29, SEQ ID NOs: 30 and 31, or SEQ ID NOs: 32 and 33; and the pair of primers capable of hybridizing to the ctxA gene of V. cholerae is SEQ ID NOs: 39 and 40, SEQ ID NOs: 41 and 42, SEQ ID NOs: 43 and 44, SEQ ID NOs: 45 and 46, or SEQ ID NOs: 47 and 48. In some embodiments, the pair of control primers capable of hybridizing to the yaiO gene of E. coli is SEQ ID NOs: 53 and 54, SEQ ID NOs: 55 and 56, SEQ ID NOs: 57 and 58, SEQ ID NOs: 59 and 60, or SEQ ID NOs: 61 and 62.

In some embodiments, said amplification is carried out using a method selected from the group consisting of polymerase chain reaction (PCR), ligase chain reaction (LCR), loop-mediated isothermal amplification (LAMP), strand displacement amplification (SDA), replicase-mediated amplification, Immuno-amplification, nucleic acid sequence based amplification (NASBA), self-sustained sequence replication (3SR), rolling circle amplification, and transcription-mediated amplification (TMA). The PCR can be real-time PCR. The PCR can be quantitative real-time PCR (QRT-PCR). Each primer can comprise exogenous nucleotide sequence.

In some embodiments, determining the presence or amount of one or more amplicons comprises contacting the amplicons with a plurality of oligonucleotide probes, wherein each of the plurality of oligonucleotide probes comprises a sequence selected from the group consisting of SEQ ID NOs: 9-11, 20-23, 34-38, 49-52, and 63-67, or a sequence that exhibits at least about 85% identity (e.g., 85%, 86%, 87%, 88%, 89%, 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, 100%, or a number or a range between any two of these values) to a sequence selected from the group consisting of SEQ ID NOs: 9-11, 20-23, 34-38, 49-52, and 63-67. Each of the plurality of oligonucleotide probes can comprise a sequence selected from the group consisting of SEQ ID NOs: 9-11, 20-23, 34-38, 49-52, and 63-67. Each of the plurality of oligonucleotide probes can consist of a sequence selected from the group consisting of SEQ ID NOs: 9-11, 20-23, 34-38, 49-52, and 63-67. Each probe can be flanked by complementary sequences at the 5′ end and 3′ end. In some embodiments, one of the complementary sequences comprises a fluorescence emitter moiety and the other complementary sequence comprises a fluorescence quencher moiety. In some embodiments, at least one of the plurality of oligonucleotide probes comprises a fluorescence emitter moiety and a fluorescence quencher moiety.

As described herein, the amplification can be carried out by real-time PCR, for example, quantitative real-time PCR (QRT-PCR). The primers suitable for use in the methods and compositions described herein can comprise exogenous nucleotide sequence which allows post-amplification manipulation of amplification products without a significant effect on amplification itself. In some embodiments, the primer and/or probe can be flanked by complementary sequences comprising a fluorophore at the 5′ end, and a fluorescence quencher at the 3′ end.

Any of the oligonucleotide probes disclosed herein can comprise a fluorescence emitter moiety, a fluorescence quencher moiety, or both.

The methods disclosed herein are amendable to automation, thereby providing a high-throughput option for the detection and/or quantification of one or more of V. cholerae, V cholerae serogroup O1, V. cholerae serogroup O139, and V. cholerae encoding cholera toxin in a sample in a sample. Various multiplex PCR platforms, e.g., BD MAX™, Viper™, or Viper™ LT platforms, can be used to perform one or more steps of the disclosed methods. The methods can be performed in a multiplex fashion. For example, the nucleic acid amplification and/or detection, in some embodiments, comprise performing multiplex PCR.

EXAMPLES

The following examples are provided to demonstrate particular situations and settings in which this technology may be applied and are not intended to restrict the scope of the invention and the claims included in this disclosure.

Example 1 Multiplex Detection of V. cholerae, V Cholerae Serogroup O1, V. cholerae Serogroup O139, and V. cholerae Encoding Cholera Toxin

The study described in this example describes an implementation case of the compositions and methods provided herein on a BD MAX fully automated system. The compositions and methods disclosed herein can also be implemented on other real-time PCR instruments, such as, for example, ABI 7500.

Materials and Methods

A total of 63 bacterial strains were used for the validation of the multiplex PCR primer/probe combinations provided herein, and these strains are presented in Table 4. These isolates included V. cholerae (n=22), V. parahaemolyticus (n=19), V. fluvialis (n=1), V. alginolyticus, (n=1), V. mimicus (n=1), V. vulnificus (n=1), Aeromonas hydrophila (n=1), Plesinomonas shigelloides (n=1), diarrheagenic Escherichia coli (n=8), Salmonella spp. (n=6) and Shigella spp. (n=2). The two control strains used in this study were (i) V. cholerae N16961: O1; (ii) V. cholerae M045: O139. All these strains were provided by China national CDC.

TABLE 4 Bacterial Strains Used for Validation of Multiplex PCR BDM-VC O1- O139- Species Strain Description ompW ctxA rfbE wbfR V. cholerae (n = 22) O1 serogroup (n = 11) N16961 Reference strain, ctx+ + + + VC4679 Clinical strain, ctx+ + + + VC4684 Clinical strain, ctx+ + + + VC4685 Clinical strain, ctx+ + + + VC4689 Clinical strain, ctx+ + + + VC4692 Clinical strain, ctx+ + + + VC4696 Clinical strain, ctx+ + + + VC4879 Clinical strain, ctx+ + + + VC4981 Clinical strain, ctx+ + + + VC4670 Clinical strain, ctx− + + VC4876 Clinical strain, ctx− + + O139 serogroup (n = 11) MO45 Reference strain, ctx+ + + + VC206 Clinical strain, ctx+ + + + VC213 Clinical strain, ctx+ + + + VC495 Clinical strain, ctx+ + + + VC818 Clinical strain, ctx+ + + + VC1193 Clinical strain, ctx+ + + + VC1662 Clinical strain, ctx+ + + + VC2384 Clinical strain, ctx+ + + + VC2650 Clinical strain, ctx+ + + + VC207 Clinical strain, ctx− + + VC3768 Clinical strain, ctx− + + Non-target species (n = 41) V. parahaemolyticus Clinical strain (n = 19) V. mimicus (n = 1) SX-4 Clinical strain, ctx+ + V. fluvialis (n = 1) CICC21612 Reference strain V. vulnificus (n = 1) ATCC27562 Reference strain V. anguillarum (n = 1) VA3 Clinical strain Plesinomonas PS6 Clinical strain shigelloides (n = 1) Aeromonas AH1 Clinical strain hydrophila (n = 1) diarrheagenic Clinical strain Escherichia coli (n = 8) Salmonella spp. (n = 6) Clinical strain Shigella spp. (n = 2) Clinical strain

A BD MAX™ ExK™ TNA-2 Extraction Kit and 5×qPCR Mastermix were employed in this study.

The genes targeted for V. cholerae multiplex detection assay (BDM-VC) were ompW, ctxA, rfbN and wbfR, with the E. coli yaiO gene was selected as an internal control. These gene sequences were based on alignments of available sequences deposited in the nr database of NCBI (https://www.ncbi.nlm.nih.gov/nucleotide/). All primers and probes were designed using Beacon Designer V8.20, and all were synthesized by Sangon Biotech (Shanghai, China). The NCBI BLASTn was used to check the in silico specificity and sensitivity.

For DNA extraction from stool sample, stool samples (spiked and clinical samples) were vortexed and 50 ul aliquots for each sample were added into the BD MAX sample buffer tube. DNA automated extraction on BD MAX using BD MAX ExK TNA-2 Extraction Kit was conducted following kit instructions.

For the multiplex PCR reactions a 12.5 ul PCR reaction mixture was prepared in each conical tube comprising primer/probe combinations disclosed herein at the working concentrations indicated in Table 5. The Sample Processing Control (SPC) can comprise the yaiO gene of E. coli.

TABLE 5 Multiplex PCR Mixture Working Concentration Volume Component (/L) (uL) ompW-FP 300 nM 0.375 ompW-RP 300 nM 0.375 ompW probe 100 nM 0.25 ctxA-FP 300 nM 0.375 ctxA RP 300 nM 0.375 ctxA probe 100 nM 0.25 rfbN-FP 300 nM 0.375 rfbN-RP 300 nM 0.375 rfbN probe 100 nM 0.25 wbfR-FP 300 nM 0.375 wbfR-RP 300 nM 0.375 wbfR probe 100 nM 0.25 SPC-FP 300 nM 0.375 SPC-RP 300 nM 0.375 SPC probe 100 nM 0.25 qPCRMaster Mix 5x 5 ddH2O 2.5 Total volume 12.5

The conical tubes containing 12.5 ul mixture were snapped into BD MAX TNA extraction strips. The final PCR reaction mixture was prepared by BD MAX by automatically adding 12.5 ul purified DNA prepared as described above into the above said conical tube and mixed. The PCR thermocycling profile was as follows: 95° C. denaturation for 5 min; and 95° C. denaturation 15 s, 60° C. annealing and extension 43 s, 40 cycles.

Amplification Efficiency Testing

As shown in Table 6, the primer/probe combinations provided herein, when used in the multiplex PCR method disclosed herein, generated excellent amplification efficiencies for ompW, rfbN, wbfR, and ctxA in stool samples spiked with either strain N16961 or MO45.

TABLE 6 Amplification Efficiency of Multiplex PCR for ompW, rfbN, wbfR, and ctxA in stool samples spiked with Strains N16961 or MO45 Strain spiked Amplification Method in stool Target R² Efficiency BDM-VC N16961 ompW 0.993 95.00% ctxA 0.998 104.20% rfbN 0.998 113.80% BDM-VC MO45 ompW 0.999 104.60% ctxA 0.996 101.80% wbfR 1 103.70%

Analytical Sensitivity Testing

For estimation of the limit of detection of the optimized multiplex PCR, 10 ul of VC strains N16961 and MO45 culture suspensions were spiked with 50 ul negative fecal specimens and vortexed before extraction. These were tested at six different bacterial concentrations in 5 replicates per run starting from McFarland standard of 2.5, for three independent runs. Colony counts were performed using the standard plate counting procedure. The highest 10-fold dilution for which a threshold cycle CT value was observed was diluted further in a series of three 2-fold dilutions (1:2, 1:4, and 1:8) to find the lowest concentration at which a CT value was detected. The lowest concentration that produced a CT value was tested in 12 replicates to determine the limit of detection (LoD) of the assay as presented in Table 7. Robust analytical sensitivity was observed for each target using the primer/probe combinations provided herein.

TABLE 7 Analytical Sensitivity of ompW, rfbN, wbfR, and ctxA Multiplex PCR M045 ompW ctxA O139-wbfR LoD (CFU/mL in SBT)  6.5 (91.7%)  6.5 (91.7%)  13 (83%) LoD (CFU/mL in stool) 195 (91.7%) 195 (91.7%) 390 (83%) N16961 ompW ctxA O1-rfbE LoD (CFU/mL in SBT) 10.92 (91.7%) 10.92 (91.7%) 10.92 (83%) LoD (CFU/mL in stool) 327.5 (91.7%) 327.5 (91.7%) 327.5 (83%)

Analytical Specificity Testing

Analytical specificity was measured by testing DNA extracted from the panel of positive- and negative-control isolates (Table 4). This panel consisted of 63 control isolates that were either closely related to the target species or represented a wide range of pathogenic isolates which is commonly found in fecal samples of diarrhea patients and identified using cultural method (Table 4). The assay correctly detected all of the V. cholerae isolates, and there is no cross-reaction with non-target isolates (Table 8). Robust analytical specificity was observed for each target using the primer/probe combinations provided herein.

TABLE 8 Analytical Specificity of ompW, rfbN, wbfR, and ctxA Multiplex PCR Sample Name ompW ctxA O1-rfbE SPC (E. coli) O139-wbfR VC 18 19 19.4 −1 −1 Vibrio flurialis −1 −1 −1 −1 −1 VC-4696 17 17.5 16.8 −1 −1 VC-4670 16.9 −1 16.6 −1 −1 VC-26250 17.9 17.5 −1 −1 18.8 VC-3768 17.7 −1 −1 −1 18.1 VA −1 −1 −1 −1 −1 VM −1 15.5 −1 −1 −1 VV −1 −1 −1 −1 −1 Plesiomonas −1 −1 −1 −1 −1 Aeromonas −1 −1 −1 −1 −1 VP −1 −1 −1 −1 −1 VP8 −1 −1 −1 −1 −1 VP661 −1 −1 −1 −1 −1 VP669 −1 −1 −1 −1 −1 VP656 −1 −1 −1 −1 −1 M045 19.2 18.9 −1 −1 19.3 N16961 21.7 22.3 21.2 −1 −1 VC4189 20.3 20.8 20.2 −1 −1 VC213 20.5 20.1 −1 −1 21.6 VC-EPEC-49 −1 −1 −1 22.1 −1 VC-EPEC-51 −1 −1 −1 26.8 −1 VC-EPEC-87 −1 −1 −1 27.2 −1 VC-EAEC-68 −1 −1 −1 21.7 −1 VC-EAEC-73 −1 −1 −1 22.2 −1 VC-ETEC-42 −1 −1 −1 27.3 −1 VC-FCN-16 −1 −1 −1 27 −1 VC-ETEC-9 −1 −1 −1 22.9 −1 VC-SALMONELLA-1787 −1 −1 −1 27.4 −1 VC-SALMONELLA-1788 −1 −1 −1 27.3 −1 VC-SALMONELLA-1806 −1 −1 −1 27.5 −1 VC-SALMONELLA-1866 −1 −1 −1 27.4 −1 VC-SALMONELLA-1868 −1 −1 −1 27.6 −1 VC-SALMONELLA-10387 −1 −1 −1 27.5 −1 VC-SHIGELLA-4153-6 −1 −1 −1 27.2 −1 VC-CN-SHIGELLA-2 −1 −1 −1 24.6 −1 VC-O1-4679 17 17.5 17.2 30.2 −1 VC-O1-4684 17.1 17.6 17.3 28.4 −1 VC-O1-4685 21.8 22.3 21.8 26 −1 VC-O1-4692 17.1 17.6 17.2 27.3 −1 VC-O1-4876 22.1 −1 22 26.2 −1 VC-O1-4879 16.6 17.1 16.7 30.6 −1 VC-O1-4981 17.8 18.2 17.9 27.1 −1 VC-VP649 −1 −1 −1 27.6 −1 VC-VP651 −1 −1 −1 27.4 −1 VC-VP652 −1 −1 −1 27.3 −1 VC-VP654 −1 −1 −1 27.3 −1 VC-VP660 −1 −1 −1 27.2 −1 VC-VP661 −1 −1 −1 27.4 −1 VC-VP668 −1 −1 −1 27 −1 VC-VP670 −1 −1 −1 26.6 −1 VC-VP674 −1 −1 −1 27.4 −1 VC-VP678 −1 −1 −1 27.3 −1 VC-VP680 −1 −1 −1 27.5 −1 VC-VP686 −1 −1 −1 27.3 −1 VC-O139-206 19.6 20 −1 26 20.7 VC-O139-207 18.9 −1 −1 25.9 19.8 VC-O139-495 18.6 19.1 −1 25.7 19.7 VC-O139-818 17.9 17.6 −1 26 18.9 VC-O139-1193 18.1 18.7 −1 26.2 19.3 VC-O139-1662 18 18.5 −1 25.8 19 VC-O139-2384 18 18.5 −1 26 18.8

Terminology

In at least some of the previously described embodiments, one or more elements used in an embodiment can interchangeably be used in another embodiment unless such a replacement is not technically feasible. It will be appreciated by those skilled in the art that various other omissions, additions and modifications may be made to the methods and structures described above without departing from the scope of the claimed subject matter. All such modifications and changes are intended to fall within the scope of the subject matter, as defined by the appended claims.

With respect to the use of substantially any plural and/or singular terms herein, those having skill in the art can translate from the plural to the singular and/or from the singular to the plural as is appropriate to the context and/or application. The various singular/plural permutations may be expressly set forth herein for sake of clarity. As used in this specification and the appended claims, the singular forms “a,” “an,” and “the” include plural references unless the context clearly dictates otherwise. Any reference to “or” herein is intended to encompass “and/or” unless otherwise stated.

It will be understood by those within the art that, in general, terms used herein, and especially in the appended claims (e.g., bodies of the appended claims) are generally intended as “open” terms (e.g., the term “including” should be interpreted as “including but not limited to,” the term “having” should be interpreted as “having at least,” the term “includes” should be interpreted as “includes but is not limited to,” etc.). It will be further understood by those within the art that if a specific number of an introduced claim recitation is intended, such an intent will be explicitly recited in the claim, and in the absence of such recitation no such intent is present. For example, as an aid to understanding, the following appended claims may contain usage of the introductory phrases “at least one” and “one or more” to introduce claim recitations. However, the use of such phrases should not be construed to imply that the introduction of a claim recitation by the indefinite articles “a” or “an” limits any particular claim containing such introduced claim recitation to embodiments containing only one such recitation, even when the same claim includes the introductory phrases “one or more” or “at least one” and indefinite articles such as “a” or “an” (e.g., “a” and/or “an” should be interpreted to mean “at least one” or “one or more”); the same holds true for the use of definite articles used to introduce claim recitations. In addition, even if a specific number of an introduced claim recitation is explicitly recited, those skilled in the art will recognize that such recitation should be interpreted to mean at least the recited number (e.g., the bare recitation of “two recitations,” without other modifiers, means at least two recitations, or two or more recitations). Furthermore, in those instances where a convention analogous to “at least one of A, B, and C, etc.” is used, in general such a construction is intended in the sense one having skill in the art would understand the convention (e.g., “a system having at least one of A, B, and C” would include but not be limited to systems that have A alone, B alone, C alone, A and B together, A and C together, B and C together, and/or A, B, and C together, etc.). In those instances where a convention analogous to “at least one of A, B, or C, etc.” is used, in general such a construction is intended in the sense one having skill in the art would understand the convention (e.g., “a system having at least one of A, B, or C” would include but not be limited to systems that have A alone, B alone, C alone, A and B together, A and C together, B and C together, and/or A, B, and C together, etc.). It will be further understood by those within the art that virtually any disjunctive word and/or phrase presenting two or more alternative terms, whether in the description, claims, or drawings, should be understood to contemplate the possibilities of including one of the terms, either of the terms, or both terms. For example, the phrase “A or B” will be understood to include the possibilities of “A” or “B” or “A and B.”

In addition, where features or aspects of the disclosure are described in terms of Markush groups, those skilled in the art will recognize that the disclosure is also thereby described in terms of any individual member or subgroup of members of the Markush group.

As will be understood by one skilled in the art, for any and all purposes, such as in terms of providing a written description, all ranges disclosed herein also encompass any and all possible sub-ranges and combinations of sub-ranges thereof. Any listed range can be easily recognized as sufficiently describing and enabling the same range being broken down into at least equal halves, thirds, quarters, fifths, tenths, etc. As a non-limiting example, each range discussed herein can be readily broken down into a lower third, middle third and upper third, etc. As will also be understood by one skilled in the art all language such as “up to,” “at least,” “greater than,” “less than,” and the like include the number recited and refer to ranges which can be subsequently broken down into sub-ranges as discussed above. Finally, as will be understood by one skilled in the art, a range includes each individual member. Thus, for example, a group having 1-3 articles refers to groups having 1, 2, or 3 articles. Similarly, a group having 1-5 articles refers to groups having 1, 2, 3, 4, or 5 articles, and so forth.

While various aspects and embodiments have been disclosed herein, other aspects and embodiments will be apparent to those skilled in the art. The various aspects and embodiments disclosed herein are for purposes of illustration and are not intended to be limiting, with the true scope and spirit being indicated by the following claims. 

1. A method of detecting V. cholerae in a sample, comprising: contacting said sample with a plurality of pairs of primers, wherein the plurality of pairs of primer comprises: at least one pair of primers capable of hybridizing to the ompW gene of V. cholerae, wherein each primer in said at least one pair of primers comprises any one of the sequences of SEQ ID NOs: 1-8, or a sequence that exhibits at least about 85% identity to any one of the sequences of SEQ ID NOs: 1-8; at least one pair of primers capable of hybridizing to the rfbN gene of V. cholerae serogroup O1, wherein each primer in said at least one pair of primers comprises any one of the sequences of SEQ ID NOs: 12-19, or a sequence that exhibits at least about 85% identity to any one of the sequences of SEQ ID NOs: 12-19; at least one pair of primers capable of hybridizing to the wbfR gene of V. cholerae serogroup O139, wherein each primer in said at least one pair of primers comprises any one of the sequences of SEQ ID NOs: 24-33, or a sequence that exhibits at least about 85% identity to any one of the sequences of SEQ ID NOs: 24-33; and at least one pair of primers capable of hybridizing to the ctxA (cholera toxin) gene of V. cholerae, wherein each primer in said at least one pair of primers comprises any one of the sequences of SEQ ID NOs: 39-48, or a sequence that exhibits at least about 85% identity to any one of the sequences of SEQ ID NOs: 39-48; generating amplicons of the ompW gene sequence, amplicons of the rfbN gene sequence, amplicons of the wbfR gene sequence, amplicons of the ctxA gene sequence, or any combination thereof, if said sample comprises one or more of V. cholerae, V. cholerae serogroup O1, V. cholerae serogroup O139, and V. cholerae encoding cholera toxin; and determining the presence or amount of one or more amplicons as an indication of the presence of one or more of V. cholerae, V. cholerae serogroup O1, V. cholerae serogroup O139, and V. cholerae encoding cholera toxin in said sample.
 2. The method of claim 1, further comprising contacting the sample with at least one pair of control primers capable of hybridizing to the yaiO gene of E. coli, wherein each primer in said at least one pair of control primers comprises any one of the sequences of SEQ ID NOs: 53-62, or a sequence that exhibits at least about 85% identity to any one of the sequences of SEQ ID NOs: 53-62, and generating amplicons of the yaiO gene sequence of E. coli from said sample, if said sample comprises E. coli; and determining the presence or amount of the amplicons of the yaiO gene sequence of E. coli as an indication of the presence of E. coli in said sample.
 3. The method of claim 2, wherein the sample is contacted with a composition comprising the plurality of pairs of primers and the at least one pair of control primers capable of hybridizing to the yaiO gene of E. coli.
 4. The method of claim 1, wherein the sample is a biological sample or an environmental sample.
 5. (canceled)
 6. (canceled)
 7. The method of claim 4, wherein the biological sample comprises or is derived from a fecal sample.
 8. The method of claim 1, wherein the plurality of pairs of primers comprises a first primer comprising the sequence of SEQ ID NO: 1, 3, 5, or 7, a second primer comprising the sequence of SEQ ID NO: 2, 4, 6, or 8, a third primer comprising the sequence of SEQ ID NOs: 12, 14, 16, or 18, a fourth primer comprising the sequence of SEQ ID NO: 13, 15, 17, or 19, a fifth primer comprising the sequence of SEQ ID NO: 24, 26, 28, 30, or 32, a sixth primer comprising the sequence of SEQ ID NO: 25, 27, 29, 31, or 33, a seventh primer comprising the sequence of SEQ ID NO: 39, 41, 43, 45, or 47, and an eighth primer comprising the sequence of SEQ ID NO: 40, 42, 44, 46, or
 48. 9. The method of claim 1, wherein the plurality of pairs of primers comprises a ninth primer comprising the sequence of SEQ ID NO: 53, 55, 57, 59, or 61, and a tenth primer comprising the sequence of SEQ ID NO: 54, 56, 58, 60, or
 62. 10. The method of claim 1, wherein the pair of primers capable of hybridizing to the ompW gene of V. cholerae is SEQ ID NOs: 1 and 2, SEQ ID NOs: 3 and 4, SEQ ID NOs: 5 and 6, or SEQ ID NOs: 7 and 8; the pair of primers capable of hybridizing to the rfbN gene of V. cholerae serogroup O1 is SEQ ID NOs: 12 and 13, SEQ ID NOs: 14 and 15, SEQ ID NOs: 16 and 17, or SEQ ID NOs: 18 and 19; the pair of primers capable of hybridizing to the wbfR gene of V. cholerae serogroup O139 is SEQ ID NOs: 24 and 25, SEQ ID NOs: 26 and 27, SEQ ID NOs: 28 and 29, SEQ ID NOs: 30 and 31, or SEQ ID NOs: 32 and 33; and the pair of primers capable of hybridizing to the ctxA gene of V. cholerae is SEQ ID NOs: 39 and 40, SEQ ID NOs: 41 and 42, SEQ ID NOs: 43 and 44, SEQ ID NOs: 45 and 46, or SEQ ID NOs: 47 and
 48. 11. The method of claim 2, wherein the pair of control primers capable of hybridizing to the yaiO gene of E. coli is SEQ ID NOs: 53 and 54, SEQ ID NOs: 55 and 56, SEQ ID NOs: 57 and 58, SEQ ID NOs: 59 and 60, or SEQ ID NOs: 61 and
 62. 12. The method of claim 1, wherein said amplification is carried out using a method selected from the group consisting of polymerase chain reaction (PCR), ligase chain reaction (LCR), loop-mediated isothermal amplification (LAMP), strand displacement amplification (SDA), replicase-mediated amplification, Immuno-amplification, nucleic acid sequence based amplification (NASBA), self-sustained sequence replication (3SR), rolling circle amplification, and transcription-mediated amplification (TMA).
 13. (canceled)
 14. The method of claim 12, wherein said PCR is quantitative real-time PCR (QRT-PCR).
 15. The method of claim 1, wherein each primer comprises exogenous nucleotide sequence.
 16. The method of claim 1, wherein determining the presence or amount of one or more amplicons comprises contacting the amplicons with a plurality of oligonucleotide probes, wherein each of the plurality of oligonucleotide probes comprises a sequence selected from the group consisting of SEQ ID NOs: 9-11, 20-23, 34-38, 49-52, and 63-67, or a sequence that exhibits at least about 85% identity to a sequence selected from the group consisting of SEQ ID NOs: 9-11, 20-23, 34-38, 49-52, and 63-67.
 17. The method of claim 16, wherein each of the plurality of oligonucleotide probes comprises a sequence selected from the group consisting of SEQ ID NOs: 9-11, 20-23, 34-38, 49-52, and 63-67.
 18. The method of claim 17, wherein each of the plurality of oligonucleotide probes consists of a sequence selected from the group consisting of SEQ ID NOs: 9-11, 20-23, 34-38, 49-52, and 63-67.
 19. The method of claim 16, wherein each probe is flanked by complementary sequences at the 5′ end and 3′ end.
 20. (canceled)
 21. The method of claim 16, wherein at least one of the plurality of oligonucleotide probes comprises a fluorescence emitter moiety and a fluorescence quencher moiety.
 22. A composition for the detection of V. cholerae in a sample, comprising: at least one pair of primers capable of hybridizing to the ompW gene of V. cholerae, wherein each primer in said at least one pair of primers comprises any one of the sequences of SEQ ID NOs: 1-8, or a sequence that exhibits at least about 85% identity to any one of the sequences of SEQ ID NOs: 1-8; at least one pair of primers capable of hybridizing to the rfbN gene of V. cholerae serogroup O1, wherein each primer in said at least one pair of primers comprises any one of the sequences of SEQ ID NOs: 12-19, or a sequence that exhibits at least about 85% identity to any one of the sequences of SEQ ID NOs: 12-19; at least one pair of primers capable of hybridizing to the wbfR gene of V. cholerae serogroup O139, wherein each primer in said at least one pair of primers comprises any one of the sequences of SEQ ID NOs: 24-33, or a sequence that exhibits at least about 85% identity to any one of the sequences of SEQ ID NOs: 24-33; and at least one pair of primers capable of hybridizing to the ctxA (cholera toxin) gene of V. cholerae, wherein each primer in said at least one pair of primers comprises any one of the sequences of SEQ ID NOs: 39-48, or a sequence that exhibits at least about 85% identity to any one of the sequences of SEQ ID NOs: 39-48.
 23. The composition of claim 22, further comprising at least one pair of control primers capable of hybridizing to the yaiO gene of E. coli, wherein each primer in said at least one pair of control primers comprises any one of the sequences of SEQ ID NOs: 53-62, or a sequence that exhibits at least about 85% identity to any one of the sequences of SEQ ID NOs: 53-62. 24.-29. (canceled)
 30. An oligonucleotide probe or primer up to about 100 nucleotides in length which is capable of hybridizing to a gene selected from the group consisting of the ompW gene of V. cholerae, the rfbN gene of V. cholerae serogroup O1, the wbfR gene of V. cholerae serogroup O139, the ctxA (cholera toxin) gene of V. cholerae and the yaiO gene of E. coli, wherein said probe or primer comprises a sequence selected from the group consisting of SEQ ID NOs: 1-67, or sequence that exhibits at least about 85% identity to a sequence selected from the group consisting of SEQ ID NOs: 1-67. 31.-50. (canceled) 